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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