Initial results of managing severe bone loss in infected total joint arthroplasty using customized articulating spacers.

Authors:
Stephen J Incavo
Stephen J Incavo
Houston Methodist Hospital
Houston | United States
Robert D Russell
Robert D Russell
University of Texas Southwestern Medical Center
Dallas | United States
Kenneth B Mathis
Kenneth B Mathis
Houston Methodist Hospital
United States
Holly Adams
Holly Adams
Institute of Inflammation and Ageing
United States

J Arthroplasty 2009 Jun 9;24(4):607-13. Epub 2008 Jul 9.

Department of Orthopaedic Surgery, The Methodist Hospital, Houston, Texas 77030, USA.

Twenty-three cases of infected total joint arthroplasty with substantial bone loss were treated with a cement spacer, which was customized intraoperatively to achieve joint stability and to allow motion. All but one of the patients were ambulatory with the spacer in place. Spacer dislocation occurred in 1 hip patient (9%) and in none of the knee patients. Articulating antibiotic-impregnated spacers with intraoperative customization is our preferred treatment of cases of infected total joint arthroplasty even in the presence of bone loss.

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http://dx.doi.org/10.1016/j.arth.2008.03.017DOI Listing

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June 2009
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