J Korean Orthop Assoc.  2017 Feb;52(1):92-96. 10.4055/jkoa.2017.52.1.92.

Treatment of Spinal Infection Following Bilateral Total Knee Replacement Postoperative Infection

• Shim BJ
• Sohn OJ
• Cho CW

• KMID: 2369576
• DOI: http://doi.org/10.4055/jkoa.2017.52.1.92

Abstract

Postoperative infection from total knee arthroplasty (TKA) is an issue drawing great attention, which can manifest as a local or general infection. Its development into sepsis has also occasionally been reported. Such sepsis is a critical complication that can spread to various parts of the body, which can ultimately lead to mortality. However, the cases where infection has spread to the spine do not have clear clinical signs, making diagnosis difficult. These cases are not found in the literature. Therefore, this is a case study on both postoperative infection from TKA that has developed into sepsis and spread to the spine.

Keyword

total knee arthroplasty; spinal infection; paraplegia

MeSH Terms

Arthroplasty, Replacement, Knee*
Diagnosis
Mortality
Paraplegia
Sepsis
Spine

Figure

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  Figure 1 Preoperative radiographs.

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  Figure 2 First postoperative radiographs; device removal and anti-mixed cement insertion.

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  Figure 3 Second postoperative radiographs; prosthesis with antibiotic-loaded acrylic cement (PROSTALAC) implantation.

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