{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T14:07:35Z","timestamp":1784297255261,"version":"3.55.0"},"reference-count":22,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T00:00:00Z","timestamp":1784246400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T00:00:00Z","timestamp":1784246400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Orthop\u00e4die"],"DOI":"10.1007\/s00132-026-04866-1","type":"journal-article","created":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T13:46:09Z","timestamp":1784295969000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Clinical outcomes of the limb reconstruction system in knee arthrodesis","Klinische Ergebnisse des Extremit\u00e4tenrekonstruktionssystems bei Kniearthrodese"],"prefix":"10.1007","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1663-8677","authenticated-orcid":false,"given":"Bushu","family":"Harna","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6647-6587","authenticated-orcid":false,"given":"Dinesh","family":"Sandal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6014-3140","authenticated-orcid":false,"given":"Shivali","family":"Arya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,7,17]]},"reference":[{"key":"4866_CR1","doi-asserted-by":"publisher","first-page":"185","DOI":"10.1097\/00003086-199110000-00027","volume":"271","author":"AA Hofmann","year":"1991","unstructured":"Hofmann\u00a0AA, Kane\u00a0KR, Tkach\u00a0TK, Plaster\u00a0RL, Camargo\u00a0MP (1991) Arthrodesis of the knee with a short intramedullary nail after failed total knee arthroplasty. Clinical Orthopaedics and Related Research 271:185\u2013191. https:\/\/doi.org\/10.1097\/00003086-199110000-00027","journal-title":"Clinical Orthopaedics and Related Research"},{"key":"4866_CR2","doi-asserted-by":"publisher","first-page":"19","DOI":"10.1097\/01.blo.0000229318.35654.c7","volume":"450","author":"RJ Sierra","year":"2006","unstructured":"Sierra\u00a0RJ, Trousdale\u00a0RT, Pagnano\u00a0MW (2006) Knee fusion for salvage of failed total knee arthroplasty. Clinical Orthopaedics and Related Research 450:19\u201325. https:\/\/doi.org\/10.1097\/01.blo.0000229318.35654.c7","journal-title":"Clinical Orthopaedics and Related Research"},{"key":"4866_CR3","doi-asserted-by":"publisher","first-page":"131","DOI":"10.1097\/01.blo.0000183331.90289.9a","volume":"440","author":"CJ Della Valle","year":"2005","unstructured":"Della Valle\u00a0CJ, Nestor\u00a0BJ, Jacobs\u00a0JJ, Berger\u00a0RA, Rosenberg\u00a0AG, Galante\u00a0JO (2005) Knee arthrodesis after failed total knee arthroplasty. Clinical Orthopaedics and Related Research 440:131\u2013138. https:\/\/doi.org\/10.1097\/01.blo.0000183331.90289.9a","journal-title":"Clinical Orthopaedics and Related Research"},{"key":"4866_CR4","doi-asserted-by":"publisher","first-page":"145","DOI":"10.1097\/00003086-200411000-00022","volume":"428","author":"ME Berend","year":"2004","unstructured":"Berend\u00a0ME, Lombardi\u00a0AV Jr, Mallory\u00a0TH, Adams\u00a0JB, Russell\u00a0JH (2004) Knee arthrodesis with a\u00a0modular fusion nail for salvage of infected total knee arthroplasty. Clinical Orthopaedics and Related Research 428:145\u2013149. https:\/\/doi.org\/10.1097\/00003086-200411000-00022","journal-title":"Clinical Orthopaedics and Related Research"},{"issue":"3","key":"4866_CR5","doi-asserted-by":"publisher","first-page":"312","DOI":"10.1177\/230949900901700314","volume":"17","author":"H Shah","year":"2009","unstructured":"Shah\u00a0H, Babhulkar\u00a0S, Gandhi\u00a0J, Panchwagh\u00a0Y (2009) Knee arthrodesis using monolateral external fixator in infected cases. Journal of Orthopaedic Surgery (Hong Kong) 17(3):312\u2013316. https:\/\/doi.org\/10.1177\/230949900901700314","journal-title":"Journal of Orthopaedic Surgery (Hong Kong)"},{"issue":"4","key":"4866_CR6","doi-asserted-by":"publisher","first-page":"370","DOI":"10.1055\/s-0032-1322569","volume":"150","author":"J Gille","year":"2012","unstructured":"Gille\u00a0J, Schottle\u00a0PB, Gille\u00a0AM, Schulz\u00a0AP, Faschingbauer\u00a0M (2012) Knee arthrodesis: Indications and technique using the Ilizarov external fixator. Zeitschrift f\u00fcr Orthop\u00e4die und Unfallchirurgie 150(4):370\u2013376. https:\/\/doi.org\/10.1055\/s-0032-1322569","journal-title":"Zeitschrift f\u00fcr Orthop\u00e4die und Unfallchirurgie"},{"issue":"7 Suppl 2","key":"4866_CR7","doi-asserted-by":"publisher","first-page":"104","DOI":"10.1016\/j.arth.2004.06.014","volume":"19","author":"JD Conway","year":"2004","unstructured":"Conway\u00a0JD, Mont\u00a0MA, Bezwada\u00a0HP (2004) Arthrodesis of the knee. J\u00a0Arthroplasty 19(7 Suppl 2):104\u2013109. https:\/\/doi.org\/10.1016\/j.arth.2004.06.014","journal-title":"Journal of Arthroplasty"},{"issue":"11","key":"4866_CR8","doi-asserted-by":"publisher","first-page":"2419","DOI":"10.2106\/00004623-200611000-00012","volume":"88","author":"CJ Della Valle","year":"2006","unstructured":"Della Valle\u00a0CJ, Myers\u00a0TG, Jacobs\u00a0JJ, Paprosky\u00a0WG, Rosenberg\u00a0AG (2006) The use of modular stems in revision total knee arthroplasty. Journal of Bone and Joint Surgery (American) 88(11):2419\u20132427. https:\/\/doi.org\/10.2106\/00004623-200611000-00012","journal-title":"Journal of Bone and Joint Surgery (American)"},{"key":"4866_CR9","doi-asserted-by":"publisher","first-page":"131","DOI":"10.1097\/01.blo.0000218731.24446.e8","volume":"447","author":"K Bargiotas","year":"2006","unstructured":"Bargiotas\u00a0K, Wohlrab\u00a0D, Sewecke\u00a0JJ, Lavigne\u00a0G, De Meo\u00a0P, Ashkenazi\u00a0E, Sewecke\u00a0JJ (2006) Arthrodesis of the knee with an intramedullary device for the salvage of failed total knee arthroplasty. Clinical Orthopaedics and Related Research 447:131\u2013139. https:\/\/doi.org\/10.1097\/01.blo.0000218731.24446.e8","journal-title":"Clinical Orthopaedics and Related Research"},{"issue":"1","key":"4866_CR10","doi-asserted-by":"publisher","first-page":"42","DOI":"10.1302\/0301-620x.72b1.2298768","volume":"72","author":"MM McQueen","year":"1990","unstructured":"McQueen\u00a0MM, Christie\u00a0J, Court-Brown\u00a0CM (1990) Early loading of tibial fractures treated by intramedullary nailing. Bone Joint J 72(1):42\u201345. https:\/\/doi.org\/10.1302\/0301-620x.72b1.2298768","journal-title":"Journal of Bone and Joint Surgery (British)"},{"issue":"2","key":"4866_CR11","doi-asserted-by":"publisher","first-page":"67","DOI":"10.1007\/s11751-007-0010-4","volume":"2","author":"MN El-Ghamry","year":"2007","unstructured":"El-Ghamry\u00a0MN, Mahran\u00a0MA, Elgeushy\u00a0H, Mahran\u00a0A (2007) Knee arthrodesis for salvage of failed total knee arthroplasty. Strategies in Trauma and Limb Reconstruction 2(2):67\u201371. https:\/\/doi.org\/10.1007\/s11751-007-0010-4","journal-title":"Strategies in Trauma and Limb Reconstruction"},{"issue":"11","key":"4866_CR12","doi-asserted-by":"publisher","first-page":"1514","DOI":"10.1302\/0301-620X.93B11.27220","volume":"93","author":"N Ferreira","year":"2011","unstructured":"Ferreira\u00a0N, Marais\u00a0LC (2011) Knee arthrodesis for infected total knee replacements using an Ilizarov external fixator. Journal of Bone and Joint Surgery (British) 93(11):1514\u20131519. https:\/\/doi.org\/10.1302\/0301-620X.93B11.27220","journal-title":"Journal of Bone and Joint Surgery (British)"},{"key":"4866_CR13","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-642-59373-4","volume-title":"Principles of deformity correction","author":"D Paley","year":"2005","unstructured":"Paley\u00a0D (2005) Principles of deformity correction. Springer https:\/\/doi.org\/10.1007\/978-3-642-59373-4"},{"issue":"5","key":"4866_CR14","doi-asserted-by":"publisher","first-page":"684","DOI":"10.2106\/00004623-199173050-00006","volume":"73","author":"JE Herzenberg","year":"1991","unstructured":"Herzenberg\u00a0JE, Scheufele\u00a0LL, Paley\u00a0D, Bechtel\u00a0R, Tepper\u00a0S (1991) Knee arthrodesis with the Ilizarov technique. Journal of Bone and Joint Surgery (American) 73(5):684\u2013691. https:\/\/doi.org\/10.2106\/00004623-199173050-00006","journal-title":"Journal of Bone and Joint Surgery (American)"},{"issue":"4","key":"4866_CR15","doi-asserted-by":"publisher","first-page":"438","DOI":"10.1097\/00005131-199112000-00009","volume":"5","author":"M Saleh","year":"1991","unstructured":"Saleh\u00a0M, Gibson\u00a0MF (1991) Knee arthrodesis after infected arthroplasty using the Ilizarov technique. Journal of Orthopaedic Trauma 5(4):438\u2013446. https:\/\/doi.org\/10.1097\/00005131-199112000-00009","journal-title":"Journal of Orthopaedic Trauma"},{"key":"4866_CR16","doi-asserted-by":"publisher","first-page":"139","DOI":"10.1097\/00003086-200302000-00019","volume":"409","author":"DS Feldman","year":"2003","unstructured":"Feldman\u00a0DS, Ruchelsman\u00a0DE, Velez\u00a0D, Huser\u00a0AJ, Sala\u00a0DA (2003) Knee arthrodesis using external fixation. Clinical Orthopaedics and Related Research 409:139\u2013144. https:\/\/doi.org\/10.1097\/00003086-200302000-00019","journal-title":"Clinical Orthopaedics and Related Research"},{"issue":"5","key":"4866_CR17","doi-asserted-by":"publisher","first-page":"1209","DOI":"10.1007\/s11999-009-1113-4","volume":"468","author":"H Gollwitzer","year":"2010","unstructured":"Gollwitzer\u00a0H, Diehl\u00a0P, von Eisenhart-Rothe\u00a0R, Gerdesmeyer\u00a0L, Schmitt\u00a0HJ, von Eiff\u00a0C (2010) Antibacterial poly(D, L\u2011lactic acid) coating of medical implants using a\u00a0biodegradable drug delivery technology. Clinical Orthopaedics and Related Research 468(5):1209\u20131220. https:\/\/doi.org\/10.1007\/s11999-009-1113-4","journal-title":"Clinical Orthopaedics and Related Research"},{"issue":"6","key":"4866_CR18","doi-asserted-by":"publisher","first-page":"847","DOI":"10.2106\/00004623-198971060-00010","volume":"71","author":"BF Morrey","year":"1989","unstructured":"Morrey\u00a0BF, Bryan\u00a0RS, Rand\u00a0JA (1989) Arthrodesis of the knee following failed total knee arthroplasty. Journal of Bone and Joint Surgery (American) 71(6):847\u2013855. https:\/\/doi.org\/10.2106\/00004623-198971060-00010","journal-title":"Journal of Bone and Joint Surgery (American)"},{"issue":"8","key":"4866_CR19","doi-asserted-by":"publisher","first-page":"1000","DOI":"10.1302\/0301-620X.88B8.17513","volume":"88","author":"AD Toms","year":"2006","unstructured":"Toms\u00a0AD, Davidson\u00a0D, Masri\u00a0BA, Duncan\u00a0CP (2006) The management of periprosthetic infection in total joint arthroplasty. Journal of Bone and Joint Surgery (British) 88(8):1000\u20131007. https:\/\/doi.org\/10.1302\/0301-620X.88B8.17513","journal-title":"Journal of Bone and Joint Surgery (British)"},{"issue":"2","key":"4866_CR20","doi-asserted-by":"publisher","first-page":"e121","DOI":"10.3928\/01477447-20101221-19","volume":"34","author":"GC Babis","year":"2011","unstructured":"Babis\u00a0GC, Kostakos\u00a0AT, Evangelopoulos\u00a0DS, Vlamis\u00a0J, Korres\u00a0DS (2011) Two-stage reimplantation protocol for infected total knee arthroplasty. Orthopedics 34(2):e121\u2013e127. https:\/\/doi.org\/10.3928\/01477447-20101221-19","journal-title":"Orthopedics"},{"issue":"1","key":"4866_CR21","doi-asserted-by":"publisher","first-page":"270","DOI":"10.1007\/s11999-011-1938-8","volume":"470","author":"MR Rasouli","year":"2012","unstructured":"Rasouli\u00a0MR, Restrepo\u00a0C, Maltenfort\u00a0MG, Purtill\u00a0JJ, Parvizi\u00a0J (2012) Risk factors for surgical site infection following total joint arthroplasty. Clinical Orthopaedics and Related Research 470(1):270\u2013276. https:\/\/doi.org\/10.1007\/s11999-011-1938-8","journal-title":"Clinical Orthopaedics and Related Research"},{"issue":"1","key":"4866_CR22","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD004385.pub2","volume":"2008","author":"A Lethaby","year":"2008","unstructured":"Lethaby\u00a0A, Temple\u00a0J, Santy-Tomlinson\u00a0J (2008) Pin site care for preventing infections associated with external bone fixators and pins. Cochrane Database of Systematic Reviews 2008(1):CD004385. https:\/\/doi.org\/10.1002\/14651858.CD004385.pub2","journal-title":"Cochrane Database of Systematic Reviews"}],"container-title":["Die Orthop\u00e4die"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00132-026-04866-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00132-026-04866-1","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00132-026-04866-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T13:46:09Z","timestamp":1784295969000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00132-026-04866-1"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,17]]},"references-count":22,"alternative-id":["4866"],"URL":"https:\/\/doi.org\/10.1007\/s00132-026-04866-1","relation":{},"ISSN":["2731-7145","2731-7153"],"issn-type":[{"value":"2731-7145","type":"print"},{"value":"2731-7153","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,17]]},"assertion":[{"value":"12 May 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"17 May 2026","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"19 May 2026","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"17 July 2026","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"B.\u00a0Harna, D.\u00a0Sandal and S.\u00a0Arya declare that they have no competing interests.","order":1,"name":"Ethics","label":"Conflict of interest","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Ethical approval was obtained from the institute: IRB\/IIH\/07\/2023. Human ethics and consent to participate declarations: this research was conducted with ethical committee approval, and due consent was obtained from all the participants in the study.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}}]}}