Two-Stage Revision for Infected Total Knee Arthroplasty: Based on Autoclaving the Recycled Femoral Component and Intraoperative Molding Using Antibiotic-Impregnated Cement on the Tibial Side

Clinics in Orthopedic Surgery
Byoung-Joo LeeSeong-Dae Yoon

Abstract

The purpose of this study was to determine the degree of infection control and postoperative function for new articulating metal-on-cement spacer. A retrospective study of 19 patients (20 cases), who underwent a two-stage revision arthroplasty using mobile cement prosthesis, were followed for a minimum of 2 years. This series consisted of 16 women and 3 men, having an overall mean age of 71 years. During the first stage of revision, the femoral implant and all the adherent cement was removed, after which it was autoclaved before replacement. The tibial component was removed and a doughy state, antibiotic-impregnated cement was inserted on the tibial side. To achieve joint congruency, intraoperative molding was performed by flexing and extending the knee joint. Each patient was evaluated clinically and radiologically. The clinical assessments included range of motion, and the patients were scored as per the Hospital for Special Surgery (HSS) and Knee Society (KS) criteria. The mean range of knee joint motion was 70° prior to the first stage operation and 72° prior to the second stage revision arthroplasty; following revision arthroplasty, it was 113° at the final follow-up. The mean HSS score and KS knee and function scores were...Continue Reading

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Citations

Sep 9, 2016·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Do-Kyung LeeDae-Hee Lee
Jun 24, 2017·Molecules : a Journal of Synthetic Chemistry and Natural Product Chemistry·Andreas MauererRaimund Forst
Oct 5, 2017·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Dustin L WilliamsDavid L Rothberg
Nov 7, 2019·The Journal of the American Academy of Orthopaedic Surgeons·Paul F LachiewiczJonathan R Peterson
Oct 22, 2020·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Colin Y L WoonGeoffrey Westrich
Jan 9, 2021·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Stefano Marco Paolo RossiFrancesco Benazzo

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BETA
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