Medizinische Universität Graz - Research portal
Selected Publication:
Pietsch, M; Wenisch, C; Traussnig, S; Trnoska, R; Hofmann, S.
Temporary articulating spacer with antibiotic-impregnated cement for an infected knee endoprosthesis
Orthopade. 2003; 32(6):490-497
Doi: 10.1007/s00132-003-0478-2
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- Co-authors Med Uni Graz
- Wenisch Christoph
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- Abstract:
- Two-stage reimplantation remains the gold standard in the treatment of late infected total knee arthroplasties. The reported disadvantages include difficult exposure at the time of reimplantation and less functional outcome by using static spacers. Patients who receive an articulating spacer retain a functional joint before second-stage reimplantation. This may reduce the disadvantages of static spacers (ligament contracture, extensor lag, arthrofibrosis). There is no difference in the success rates of eradicating infection (range: 90-96%). In a prospective study 24 consecutive patients were treated with an articulating spacer. The articulating spacer is made by cleaning and autoclaving the removed femoral component and the tibial polyethylene insert. These are reinserted during the same operation with antibiotic-loaded cement. The average time during which the spacer was in place was 16 weeks (range: 7-28 weeks). During an average follow-up period of 14.8 months (range: 5-33 months) one patient had a secondary reinfection. Use of an articulating spacer is economical and decreases the risk of complications in reimplantation with good functional outcome.
- Find related publications in this database (using NLM MeSH Indexing)
- Anti-Bacterial Agents - administration and dosage
- Arthroplasty, Replacement, Knee - adverse effects
- Bacteria - isolation and purification
- Bone Cements - isolation and purification
- Follow-Up Studies - isolation and purification
- Humans - isolation and purification
- Knee Joint - physiology
- Knee Prosthesis - adverse effects
- Polyethylenes - adverse effects
- Prospective Studies - adverse effects
- Prosthesis Design - adverse effects
- Prosthesis-Related Infections - drug therapy
- Range of Motion, Articular - drug therapy
- Recurrence - drug therapy
- Replantation - drug therapy
- Risk Factors - drug therapy
- Time Factors - drug therapy
- Find related publications in this database (Keywords)
- total knee arthroplasty
- infection
- articulating spacer
- two-stage exchange arthroplasty