Infection of a total knee prosthesis revealed by an abscess of the posterior leg compartment. A case report
Duranthon, L.D.; Baaklini, M.; Grimberg, J.; Vandenbussche, E.; Augereau, B.
Revue de Chirurgie Orthopedique et Reparatrice de l'Appareil Moteur 87(2): 180-182
2001
ISSN/ISBN: 0035-1040 PMID: 11319432 Document Number: 528389
We report a case of infection of a non-cemented total knee prosthesis that led to abscess formation in the posterior compartment of the leg. This case illustrates the deleterious effect of screws used to fix the non-cemented articular surface of the tibia. Infection, like osteolysis due to polyethylene granuloma, can develop along the screw tract and reach the posterior compartment, especially when the screw protrudes through the posterior cortical of the tibia. Diffusion of an intra-articular event into the posterior compartment should be suspected in patients with a total knee prosthesis who experience calf pain.