case_images: PMC11663409_01
case_images: Pre-operative AP and lateral X-rays of the knee.
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case_images: In July 2023, a 75-year-old female patient underwent elective right total knee replacement with patellar resurfacing for osteoarthritis (Fig. 1).
case_images: Post-operative AP and lateral X-rays of the knee.
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case_images: PMC11663409_01_rjae806f2.jpg
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case_images: Surgery was uneventful so she was discharged home and requested to continue with rehabilitation (Fig. 2).
case_images: On the left X-ray of the knee after removal of prosthesis and insertion of antibiotic-impregnated cement spacer and on the right X-ray of the stump following amputation.
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case_images: Orthoplastics involvement, she underwent multiple tissue samplings, patellectomy, removal of implants, and insertion of an antibiotic impregnated cement spacer (Fig. 3). Over the ensuing days the infection was uncontrollable despite further debridement and appropriate multi-drug antibiotic therapy. Following a multi-disciplinary team decision, a staged Above Knee Amputation (AKA) was performed (Fig. 3) with negative pressure dressings applied in the interim.