Citation

Herry Y, Boucher F, Neyret P, Ferry T, Lustig S. Orthop. Traumatol. Surg. Res. 2016; 102(1): 131-134.

Affiliation

Centre Albert-Trillat, CHU Lyon Croix-Rousse, hospices civils de Lyon, 69004 Lyon, France; Centre de référence des infections ostéo-articulaires complexes Rhône Alpes Auvergne, hospices civils de Lyon, 69004 Lyon, France. Electronic address: sebastien.lustig@chu-lyon.fr.

Copyright

(Copyright © 2016, Elsevier Publishing)

DOI

10.1016/j.otsr.2015.08.014

PMID

26774900

Abstract

Management of knee bone loss after gunshot trauma requires a multidisciplinary approach. Two cases of knee arthroplasty after devastating ballistic trauma are reported. Treatment comprised several steps: sampling, bone resection, reinforced cement spacer, latent sepsis control, and prosthetic reconstruction. The patients showed no neurovascular disorder and had a functioning extensor mechanism. At follow-up of at least 2years, results were satisfactory, with return to unaided walking and mean International Knee Society (IKS) score improved from 18 to 59 points. In light of these observations, knee reconstruction arthroplasty using a sequential strategy can provide satisfactory functional outcome after severe ballistic trauma.

Language: en