ePlasty: Vol. 11
Arthrodesis Using Pedicled Fibular Flap After Failed Infected Knee Arthroplasty
Steve C. Minear, MD,a,b Gordon Lee, MD,c David Kahn, MD,c and Stuart Goodman, MD, PhDd

aStanford University School of Medicine, Stanford, CA; bDepartment of Surgery, University of California San Francisco, San Francisco, CA; cDepartments of Plastic and Reconstructive Surgery, Stanford University Medical Center, Stanford, CA; and dDepartment of Orthopaedic Surgery, Stanford University Medical Center, Stanford, CA.

Correspondence: sminear@gmail.com

Objective: Severe bone loss associated with failed revision total knee arthroplasty is a challenging scenario. The pedicled fibular flap is a method to obtain vascularized bone for use in knee arthrodesis after failure of a total knee arthroplasty, with substantial loss of bone. Methods: We report 2 successful knee arthrodeses using this method in patients with infected, failed multiply revised total knee arthroplasties. The failed prosthesis was removed, and the bones were aligned and stabilized. The fibular flap was then harvested, fed through a subcutaneous tunnel, and placed within the medullary canal at the arthrodesis site. The soft tissue was closed over the grafts and flaps. Results: Two elderly women presented with pain and drainage from previous total knee arthroplasties after multiple revisions. Arthrodeses were performed as des .......