Comparison of Outcomes Following Knee Resection Arthrodesis using an Intramedullary Nail versus Dual Plating for Tumours About the Knee
doi.org/10.5704/MOJ.2511.004
- Author:
Carolino DKD
1
;
Tud AR
1
Author Information
1. Musculoskeletal Tumor Service (MSTS), Philippine Orthopedic Center, Manila, Philippines
- Publication Type:Journal Article
- Keywords:
dual plating;
intramedullary nailing;
knee resection arthrodesis;
Kuntscher nail
- From:Malaysian Orthopaedic Journal
2025;19(No. 3):28-34
- CountryMalaysia
- Language:English
-
Abstract:
Introduction: For extensive osseous involvement of
primary tumours in the distal femur and proximal tibia, knee
resection arthrodesis (KRA) is an economic alternative to
endoprosthetic reconstruction in developing countries.
Enneking (1977) described the use of an intramedullary (IM)
nail for KRA and is still regarded as the most reliable method
for fusion. We sought to determine if dual plating or IM
nailing for KRA would produce comparable outcomes.
Materials and methods: This is a cross-sectional study of
30 patients who underwent KRA with either IM nail or dual
plates for tumours about the knee. Demographic and surgical
profile, functional scores using the Musculoskeletal Tumour
Society (MSTS) score, and incidence of complications were
determined.
Results: Mean follow-up was 2.28 years (SD 20.4). IM nail
was utilised in 12 (40%) and dual plating in 18 (60%). 21
complications occurred, with 11 (52.38%) and 10 (47.62%)
occurring in the IM nail and dual plating group respectively.
MSTS score was higher with the IM nail (23.5 vs 22.5).
Mean operative time was longer with the IM nail compared
to dual plating (8.29 vs 7.80 hours). Blood loss was higher
with the IM nail (1309.09 vs 1138.89mL).
Conclusion: Outcomes of IM nailing and dual plating KRA
are comparable, including the incidence of complications.
While blood loss and operative time were noted to be longer
in the IM nailing group, and hospital admission was longer
in the dual plating group, the difference was not significant.
Larger, prospective studies are recommended to report
outcomes for fusion done following tumour resection.
- Full text:2026011415415949548knee-resection-arthrodesis.pdf
