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Revision Total Knee Arthroplasty for Ballistic Component Damage From an Intra-articular Missile
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 ne...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10374862/ https://www.ncbi.nlm.nih.gov/pubmed/37521735 http://dx.doi.org/10.1016/j.artd.2023.101172 |
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author | Palosaari, Andrew A. Berger, Peter Z. Gross, Benjamin D. Fassihi, Safa C. Campbell, Joshua C. |
author_facet | Palosaari, Andrew A. Berger, Peter Z. Gross, Benjamin D. Fassihi, Safa C. Campbell, Joshua C. |
author_sort | Palosaari, Andrew A. |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-10374862 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-103748622023-07-29 Revision Total Knee Arthroplasty for Ballistic Component Damage From an Intra-articular Missile Palosaari, Andrew A. Berger, Peter Z. Gross, Benjamin D. Fassihi, Safa C. Campbell, Joshua C. Arthroplast Today Case Report 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. Elsevier 2023-07-22 /pmc/articles/PMC10374862/ /pubmed/37521735 http://dx.doi.org/10.1016/j.artd.2023.101172 Text en © 2023 Published by Elsevier Inc. on behalf of The American Association of Hip and Knee Surgeons. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report Palosaari, Andrew A. Berger, Peter Z. Gross, Benjamin D. Fassihi, Safa C. Campbell, Joshua C. Revision Total Knee Arthroplasty for Ballistic Component Damage From an Intra-articular Missile |
title | Revision Total Knee Arthroplasty for Ballistic Component Damage From an Intra-articular Missile |
title_full | Revision Total Knee Arthroplasty for Ballistic Component Damage From an Intra-articular Missile |
title_fullStr | Revision Total Knee Arthroplasty for Ballistic Component Damage From an Intra-articular Missile |
title_full_unstemmed | Revision Total Knee Arthroplasty for Ballistic Component Damage From an Intra-articular Missile |
title_short | Revision Total Knee Arthroplasty for Ballistic Component Damage From an Intra-articular Missile |
title_sort | revision total knee arthroplasty for ballistic component damage from an intra-articular missile |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10374862/ https://www.ncbi.nlm.nih.gov/pubmed/37521735 http://dx.doi.org/10.1016/j.artd.2023.101172 |
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