Clin Orthop Surg.  2011 Sep;3(3):245-248. 10.4055/cios.2011.3.3.245.

The Modified Static Spacers Using Antibiotic-Impregnated Cement Rod in Two-Stage Revision for Infected Total Knee Arthroplasty

Affiliations
  • 1Department of Orthopedic Surgery, National Health Insurance Corporation Ilsan Hospital, Goyang, Korea. changjihoon@hotmail.com
  • 2Department of Orthopedic Surgery, Yonsei University College of Medicine, Seoul, Korea.

Abstract

The two-stage exchange arthroplasty (one- or two-stage) is believed to be the gold standard for the management of infections following total knee arthroplasty. We herein report a novel two-stage exchange arthroplasty technique using an antibiotic-impregnated cement intramedullary nail, which can be easily prepared during surgery using a straight thoracic tube and a Steinmann pin, and may provide additional stability to the knee to maintain normal mechanical axis. In addition, there is less pain between the period of prosthesis removal and subsequent reimplantation. Less soft tissue contracture, less scar adhesion, easy removal of the cement intramedullary nail, and successful infection control are the advantages of this technique.

Keyword

Total knee arthroplasty; Infection; Two-stage reimplantation; Static-spacer; Antibiotic-impregnated cement; Cement rod

MeSH Terms

Aged
Anti-Bacterial Agents/*administration & dosage
*Arthroplasty, Replacement, Knee
*Bone Cements
*Bone Nails
*Device Removal
Female
Gentamicins/administration & dosage
Humans
Knee Prosthesis/*adverse effects
Orthopedic Procedures/methods
Prosthesis-Related Infections/*therapy
Reoperation
Vancomycin/administration & dosage
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