Staged Reimplantation Using Cement Spacer Containing Antibiotics in Infected Total Knee Arthroplasty.
- Author:
Myung Sik PARK
;
Ju Won JUNG
;
Sung Jin KIM
- Publication Type:Original Article
- Keywords:
Total Knee Arthroplasty;
Infection
- MeSH:
Anti-Bacterial Agents*;
Arthroplasty*;
Humans;
Knee Prosthesis;
Knee*;
Replantation*
- From:The Journal of the Korean Orthopaedic Association
1997;32(2):296-301
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Despite the continually improving results of total knee arthroplasty, infection remains the most debilitating complication. The treatments of infected total knee arthroplasty were variable, but initially we removed infected implants and inserted antibiotic containing cemented spacer. Postoperatively, patients were mobilized in a 30 knee flexion state and treated with parenteral antibiotics. After control of infection was clinically and radiologically determined, we inserted PCL substitute total knee prosthesis. Five days postoperatively, patient began touch down standing exercise. We observed two cases in whom infected total knee arthroplasty had been salvaged successfully with two-stage implantation using cement spacers containing antibiotics.
