{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T10:14:29Z","timestamp":1768472069907,"version":"3.49.0"},"reference-count":0,"publisher":"Indian Orthopaedic Research Group","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Jocr"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:p>Introduction: Chronic periprosthetic joint infection (PJI) following total knee arthroplasty (TKA) is a limb-threatening complication, especially in the presence of sinus tract formation, bone loss, and failed prior revisions. While two-stage revision remains the standard of care, its success is limited in complex infections.\n\nCase Report: We present a single case of chronic infected TKA with a discharging sinus managed successfully using a three-stage revision protocol. The treatment involved implant removal and antibiotic-loaded cement spacer insertion, interim stabilization using a Limb Reconstruction System (LRS) external fixator, and definitive revision TKA.\n\nConclusion: The three-stage revision strategy with interim LRS fixation achieved complete infection eradication, restoration of limb alignment, and satisfactory functional outcome. This approach represents a reliable salvage option in complex chronic PJI cases.\n\nKeywords: Periprosthetic joint infection, total knee arthroplasty, three-stage revision, limb reconstruction system fixator.<\/jats:p>","DOI":"10.13107\/jocr.2026.v16.i01.6672","type":"journal-article","created":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T02:30:41Z","timestamp":1768357841000},"page":"252-256","source":"Crossref","is-referenced-by-count":0,"title":["A Step Beyond Convention: Three-Stage Revision with Limb Reconstruction System Fixator for Chronic Infected Total Knee Arthroplasty \u2013 A Case Report"],"prefix":"10.13107","volume":"16","author":[{"name":"Department of Orthopaedics, Government Tirunelveli Medical College and Hospital, Tirunelveli, Tamil Nadu, India.","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"V.","family":"Purushothaman","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.","family":"Kavilakshmanan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of Orthopaedics, Government Tirunelveli Medical College and Hospital, Tirunelveli, Tamil Nadu, India.","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5271","published-online":{"date-parts":[[2026]]},"container-title":["Journal of Orthopaedic Case Reports"],"original-title":[],"deposited":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T02:30:41Z","timestamp":1768357841000},"score":1,"resource":{"primary":{"URL":"https:\/\/jocr.co.in\/wp\/2026\/01\/a-step-beyond-convention-three-stage-revision-with-limb-reconstruction-system-fixator-for-chronic-infected-total-knee-arthroplasty-a-case-report\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":0,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026]]},"published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.13107\/jocr.2026.v16.i01.6672","relation":{},"ISSN":["2321-3817"],"issn-type":[{"value":"2321-3817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]}}}