The Use of PROSTALAC In Two-stage Reimplantation 0f Septic Total Knee And Hip Arthroplasty
- Author:
Bl Wam
;
Ek Chee
;
Tw Ewe
- Publication Type:Journal Article
- Keywords:
PROSTALAC;
functional spacer;
two-stage exchange arthroplasty
- From:Malaysian Orthopaedic Journal
2010;4(3):11-15
- CountryMalaysia
- Language:English
-
Abstract:
The PROSTALAC (PROSThesis Antibiotic Loaded Acrylic Cement) functional spacer is made with antibiotic-loaded acrylic cement. We use it as an interim spacer in two-stage exchange arthroplasty in cases of infected total knee or total hip replacement. PROSTALAC allows continuous rehabilitation between stages as it maintains good alignment and stability of the joint with a reasonable range of movement. It also helps to maintain the soft-tissue planes, thereby facilitating the second-stage procedure. We report here early outcomes of the use of PROSTALAC in 5 patients - 3 in total knee replacements, 1 in a total hip replacement and 1 in a bipolar hemiarthroplasty.