Abstract
Salvage/rescue procedures always require compromises. The best solution for knee replacement complications is prevention, or a successful primary implantation or first exchange arthroplasty, where we use everything what modern medicine offers and most importantly we are able to follow normal recommended procedures.
Chronic suppressive antibiotic therapy is a possible solution for patients who could not handle the surgery and subsequent treatment. Resection arthroplasty after extraction of knee replacement revision leads to significant instability which is difficult to deal with, even while wearing a brace.
Knee joint contact arthrodesis does not have ideal functional results due to significant limb shortening. We thus prefer non-contact arthrodesis.
Life is easier for patients with arthrodesis than for patients who have to undergo amputation or resection arthroplasty. Arthrodesis allows the patient an independent lifestyle some restrictions, especially the inability to bend the knee.
Life with an immobile knee is better however than amputation above the knee. Amputation is the last resort solution for knee joint replacements complications, a solution which is difficult for the patient both mentally and physically.