39 male gentleman presented to us with infection of left side knee. He had a history of proximal tibial tumour (osteosarcoma) which was treated by tumor resection and endoprosthesis 1 year back. He was in severe pain and was unable to bear weight on left side lower limb. Managing Infected Knee Replacement is a challenge and very few centres in India are managing these cases.
We at our centre follow 2 stage protocol for treatment of these case. In 1st stage the implants are removed and thorough debridement is done to clear of all the infection and antibiotic spacer are put for 3 months to clear the residual infection.
In 2nd Stage the antibiotic spacer are removed and revision Total Knee Implants are put. Patient can walk from 2nd post op day after this surgery. After surgery our patient is comfortable and walking independently. There are no signs of residual infection.