Revision Total Knee Arthroplasty for Ballistic Component Damage From an Intra-articular Missile.
Gunshot wound
Revision arthroplasty
Total knee arthroplasty
Journal
Arthroplasty today
ISSN: 2352-3441
Titre abrégé: Arthroplast Today
Pays: United States
ID NLM: 101681808
Informations de publication
Date de publication:
Aug 2023
Aug 2023
Historique:
received:
22
06
2022
revised:
16
06
2023
accepted:
18
06
2023
medline:
31
7
2023
pubmed:
31
7
2023
entrez:
31
7
2023
Statut:
epublish
Résumé
Gunshot wounds (GSWs) and total knee arthroplasty (TKA) are increasingly common, yet a GSW to a TKA is a rare injury. A 60-year-old man sustained an intra-articular GSW to a prior TKA. The patient was scheduled for irrigation and debridement with polyethylene liner exchange. Intraoperatively, the new polyethylene liner was unable to engage the tibial tray. Damage to the locking mechanism on the tibial tray was suspected so total revision proceeded. Upon inspection of the explanted components, it was noted that a bullet fragment offline from the missile trajectory had blocked the locking of the polyethylene liner in the tibial tray. Expeditious antibiotics should be given and meticulous debridement should be performed to avoid unnecessary total component revision.
Identifiants
pubmed: 37521735
doi: 10.1016/j.artd.2023.101172
pii: S2352-3441(23)00077-8
pmc: PMC10374862
doi:
Types de publication
Case Reports
Langues
eng
Pagination
101172Informations de copyright
© 2023 Published by Elsevier Inc. on behalf of The American Association of Hip and Knee Surgeons.
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