The Modified Static Spacers Using Antibiotic-Impregnated Cement Rod in Two-Stage Revision for Infected Total Knee Arthroplasty.
10.4055/cios.2011.3.3.245
- Author:
Juhyung YOO
1
;
Seungyup LEE
;
Changdong HAN
;
Jihoon CHANG
Author Information
1. Department of Orthopedic Surgery, National Health Insurance Corporation Ilsan Hospital, Goyang, Korea. changjihoon@hotmail.com
- Publication Type:Case Report
- Keywords:
Total knee arthroplasty;
Infection;
Two-stage reimplantation;
Static-spacer;
Antibiotic-impregnated cement;
Cement rod
- MeSH:
Aged;
Anti-Bacterial Agents/*administration & dosage;
*Arthroplasty, Replacement, Knee;
*Bone Cements;
*Bone Nails;
*Device Removal;
Female;
Gentamicins/administration & dosage;
Humans;
Knee Prosthesis/*adverse effects;
Orthopedic Procedures/methods;
Prosthesis-Related Infections/*therapy;
Reoperation;
Vancomycin/administration & dosage
- From:Clinics in Orthopedic Surgery
2011;3(3):245-248
- CountryRepublic of Korea
- Language:English
-
Abstract:
The two-stage exchange arthroplasty (one- or two-stage) is believed to be the gold standard for the management of infections following total knee arthroplasty. We herein report a novel two-stage exchange arthroplasty technique using an antibiotic-impregnated cement intramedullary nail, which can be easily prepared during surgery using a straight thoracic tube and a Steinmann pin, and may provide additional stability to the knee to maintain normal mechanical axis. In addition, there is less pain between the period of prosthesis removal and subsequent reimplantation. Less soft tissue contracture, less scar adhesion, easy removal of the cement intramedullary nail, and successful infection control are the advantages of this technique.
