Preformed articulating knee spacers in 2-stage total knee revision arthroplasty: minimum 2-year follow-up.

Authors:
Zhinian Wan
Zhinian Wan
Keck Medical Center of USC
Los Angeles | United States
Azim Karim
Azim Karim
Surgical Advanced Technologies Lab
Omaha | United States
Amit Momaya
Amit Momaya
University of Alabama at Birmingham
Stephen J Incavo
Stephen J Incavo
Houston Methodist Hospital
Houston | United States
Kenneth B Mathis
Kenneth B Mathis
Houston Methodist Hospital
United States

J Arthroplasty 2012 Sep 14;27(8):1469-73. Epub 2012 Mar 14.

Methodist Center for Orthopaedic Surgery, The Methodist Hospital, Houston, TX, USA.

Two-stage revision arthroplasty using articulating spacers for the treatment of infected total knee arthroplasty (TKA) is a successful management technique. Our purpose was to report our results using preformed, commercially available articulating spacers made of gentamicin-impregnated cement. Thirty-three patients with infected primary or revision TKAs were treated with these spacers using a 2-stage revision technique. In most cases, the spacers were modified intraoperatively by adding a stem of reinforced antibiotic-impregnated acrylic cement. Successful eradication was achieved in 30 of 33 cases at a minimum 2-year follow-up interval. Two patients required a second spacer before successful revision TKA. No spacer fractures or dislocations occurred in this series. No adverse soft tissue effects were noted from the use of this type of articulating spacer.

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http://dx.doi.org/10.1016/j.arth.2012.01.027DOI Listing

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September 2012
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