Open AccessA Technique for Intraoperative Construction of Antibiotic Spacers
Author(s) -
ChulWon Ha
Publication year - 2006
Publication title -
clinical orthopaedics and related research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.178
H-Index - 204
eISSN - 1528-1132
pISSN - 0009-921X
DOI - 10.1097/01.blo.0000201161.52196.c5
Subject(s) - medicine , total knee replacement , surgery , orthopedic surgery , stage (stratigraphy) , knee prosthesis , single stage , paleontology , engineering , biology , aerospace engineering
A technique for intraoperatively creating an antibiotic spacer for two-stage treatment of infected total knee replacements is described. An intraoperative mold is made from the removed components and used to create antibiotic spacers with surface contours similar to those of the original total knee replacement. The spacers restore leg length and knee stability. This allows limited function during the interval before reimplantation of the new total knee replacement. It is a cost-effective and convenient technique for creating a suitably shaped and sized cement spacer for two-stage revision total knee replacement after infection. The clinical results of 12 consecutive patients using this technique with minimum of 2 years followup seem to be at least equal or better than results reported in previous studies.