{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T15:14:49Z","timestamp":1786979689402,"version":"build-2736575974"},"reference-count":24,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2021,8,29]],"date-time":"2021-08-29T00:00:00Z","timestamp":1630195200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,8,29]],"date-time":"2021-08-29T00:00:00Z","timestamp":1630195200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,8,29]],"date-time":"2021-08-29T00:00:00Z","timestamp":1630195200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100006390","name":"Universit\u00e9 de Lausanne","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100006390","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100006390","name":"Universit\u00e9 de Lausanne","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100006390","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Knee arthrodesis is an established procedure for limb salvage in cases of recurrent infection, total knee arthroplasty soft tissue defect, poor bone stock or a deficient extensor mechanism. Surgical options include compression plate, external fixator and arthrodesis nail. Different types of nail exist: long fusion nail, short modular nail and bridging nail. This study presents the results on knee arthrodesis using different types of intramedullary nails. The aim is to assess if a specific type of nail has a better fusion rate, clinical outcome and lower complication rate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A mono\u2010centric retrospective study of 48\u00a0knees arthrodesis was performed between 2000 and 2018. 15 T2\n                      <jats:sup>\u2122<\/jats:sup>\n                      Arthrodesis Nail, 6 OsteoBridge\n                      <jats:sup>\u00ae<\/jats:sup>\n                      Knee Arthrodesis and 27 Wichita\n                      <jats:sup>\u00ae<\/jats:sup>\n                      fusion nail were used. The mean clinic and radiological follow\u2010up was 9.8\u2009\u00b1\u20093.8 years (2.6\u201318 years).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Fusion rate was 89.6%. Time to fusion was 6.9\u00a0months. Mean Parker score was 6.9\/9 points. Visual Analogic Scale was 1.9. The Wichita\n                      <jats:sup>\u00ae<\/jats:sup>\n                      fusion nail showed better results in terms of fusion, time to fusion and clinical outcome measured by Parker score and VAS but without statistical significance. The early revision rate was 10.4% and 20.8% presented a late complication requiring a surgery, due to nonunion or infection. 93.3% of infection was cured. Two patients live with a fistula (4.2%) and 1 was amputated (2.1%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      Although burdened by a big complication rate, knee arthrodesis with an intramedullary nail provides satisfactory results and is a good alternative to above\u2010knee\u2010amputation. The Wichita\n                      <jats:sup>\u00ae<\/jats:sup>\n                      fusion nail shows a tendency to better results compared to the two other nails.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of evidence<\/jats:title>\n                    <jats:p>Case series, level IV<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00167-021-06693-7","type":"journal-article","created":{"date-parts":[[2021,8,29]],"date-time":"2021-08-29T13:02:37Z","timestamp":1630242157000},"page":"1299-1306","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Fusion rate of 89% after knee arthrodesis using an intramedullary nail: a mono\u2010centric retrospective review of 48 cases"],"prefix":"10.1002","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9497-7458","authenticated-orcid":false,"given":"Ana\u00efs","family":"Luyet","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopaedics and Traumatology Lausanne University Hospital, University of Lausanne Rue du Bugnon 46 1011 Lausanne Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sylvain","family":"Steinmetz","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopaedics and Traumatology Lausanne University Hospital, University of Lausanne Rue du Bugnon 46 1011 Lausanne Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicolas","family":"Gallusser","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopaedics and Traumatology Lausanne University Hospital, University of Lausanne Rue du Bugnon 46 1011 Lausanne Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Roche","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopaedics and Traumatology Lausanne University Hospital, University of Lausanne Rue du Bugnon 46 1011 Lausanne Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arnaud","family":"Fischbacher","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopaedics and Traumatology Lausanne University Hospital, University of Lausanne Rue du Bugnon 46 1011 Lausanne Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christophe","family":"Tissot","sequence":"additional","affiliation":[{"name":"<!--<label>2<\/label>--> Clinique de la Source Avenue Bergi\u00e8res 2 1004 Lausanne Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olivier","family":"Borens","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopaedics and Traumatology Lausanne University Hospital, University of Lausanne Rue du Bugnon 46 1011 Lausanne Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,8,29]]},"reference":[{"key":"e_1_2_9_2_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12891\u2010018\u20102283\u20104"},{"key":"e_1_2_9_3_2","first-page":"E6","article-title":"Wichita fusion nail for patients with failed total knee arthroplasty and active infection","volume":"37","author":"Barsoum WK","year":"2008","journal-title":"Am J Orthop (Belle Mead NJ)"},{"key":"e_1_2_9_4_2","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1097\/00003086-198908000-00028","article-title":"Treatment of infected knee arthroplasty","volume":"245","author":"Bengston 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December 2020","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"7 July 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"29 August 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare that they have no conflict of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"Approval was obtained from the Swiss Ethics Committees on research involving humans (ID 2018\u201301370).","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}}]}}