In this report we describe a 78-year-old man whose total knee arthroplasty showed the symptoms of infection with brucella with radiographic signs of loosening 5 years after the index surgery. The patient was treated successfully after a 2-stage revision arthroplasty surgery along with using rifampicin and doxycycline for 8 weeks.

BACKGROUND Relative young and more active patients with osteoarthritis (OA) of the isolated medial femorotibial compartment in conjunction with anterior cruciate ligament (ACL) deficiency are difficult to treat. The aim of this study was to explore the early clinical outcomes of combined Oxford unicompartmental knee arthroplasty (UKA) and ACL reconstruction for the patients presenting ACL defic...

Most of the early failures of total knee replacements are related to technical flaws. Conventional ancillary devices achieve good alignment in the frontal plane in only an average of 75% of total knee replacements. Computer-assisted surgery may improve the technical quality of implantation surgery. The aim of our study was to evaluate the use of computer-assisted surgery using a quality control...

For revision knee surgery with uncontained tibial bone defects, the authors report the containment of compacted morsellized allograft using metal-wire mesh, followed by implantation of a cemented total knee prosthesis. This method is comparable to the "impaction grafting technique" described for revision hip surgery and could be an alternative to metal wedges, augmented components, custom-made ...

BACKGROUND AND PURPOSE There has recently been interest in the advantages of minimally invasive surgery (MIS) over conventional surgery, and on local infiltration analgesia (LIA) during knee arthroplasty. In this randomized controlled trial, we investigated whether MIS would result in earlier home-readiness and reduced postoperative pain compared to conventional unicompartmental knee arthroplas...

OBJECTIVE To compare the health-related quality of life of people with osteoarthritis before and after primary total hip and knee replacement surgery with that of the general Australian population. DESIGN A prospective cohort study. SETTING Three Sydney hospitals, public and private. PARTICIPANTS Patients with osteoarthritis undergoing primary total hip (n = 59) and knee (n = 92) joint re...

Introduction Rectus femoris transfer surgery is performed to improve knee flexion in persons with cerebral palsy who walk with a stiff-knee gait (Gage et al., 1987; Perry, 1987). In this surgery, the rectus femoris muscle is separated from the quadriceps tendon, tunneled through the subcutaneous tissue on the medial aspect of the thigh and sutured to one of the knee flexors – such as sartorius ...

Throughout the history of lower-extremity amputation surgery, the relative emphasis placed on various parts of the procedure has undergone many changes as new techniques have become available and as new goals have been appreciated. At present, the amount and direction of available knowledge demand the surgeon's concern with fundamental principles. Since some of these problems must be considered...

Knee infection is a relatively rare complication after arthroscopic knee surgery (Babcok et al., 2002), with reported incidences ranging from 0.1% to 3.4% (Babcok et al., 2002 and Bert et al., 2007). Although postoperative dental and surgical procedures were formerly considered a risk factor for infection in arthroplasty patients, the American Dental Association (ADA) and Academy of Orthopaedic...