| Autor: |
Brian P. Chalmers, MD, Nicholas M. Hernandez, MD, Brandon J. Yuan, MD, Matthew P. Abdel, MD, David G. Lewallen, MD, Kevin I. Perry, MD |
| Jazyk: |
angličtina |
| Rok vydání: |
2019 |
| Předmět: |
|
| Zdroj: |
Arthroplasty Today, Vol 5, Iss 3, Pp 309-313 (2019) |
| Druh dokumentu: |
article |
| ISSN: |
2352-3441 |
| DOI: |
10.1016/j.artd.2019.02.005 |
| Popis: |
Two-stage revision total knee arthroplasty remains the gold standard for management of chronic periprosthetic joint infection in North America. Static cement antibiotic spacers used after knee resection to deliver high-dose antibiotics lack primary stability, potentially leading to spacer migration or dislocation, additional bone loss, extensor mechanism erosion, and even knee subluxation or frank dislocation. A custom brace or cast is often required to augment knee stability, which is time-consuming, costly, and prevents monitoring or wound care of the soft tissues. An external fixator arthrodesis antibiotic spacer can provide primary stability without a brace or cast, allowing for soft-tissue monitoring and care, and minimizes potential spacer complications. We present the technique for implanting and removing this specific external fixator arthrodesis antibiotic spacer. Keywords: Total knee arthroplasty, Infection, Periprosthetic joint infection, Antibiotic spacer, Static spacer |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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