A cement spacer for two-stage revision of infected implants of the hip joint

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Sonication of antibiotic-loaded cement spacers in a two-stage revision protocol for infected joint arthroplasty

BACKGROUND Culturing of the sonication fluid of removed implants has proven to be more sensitive than conventional periprosthetic tissue culture for the microbiological diagnosis of prosthetic joint infection. Since bacteria surviving on antibiotic-loaded cement spacers used in a two-stage exchange protocol for infected arthroplasties may cause the persistence of infection, in this study we ask...

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Two-stage revision of infected total knee arthroplasty using an antibiotic-impregnated static cement-spacer.

BACKGROUND Static antibiotic-impregnated cement spacers have been used widely to treat chronically infected total knee arthroplasties with a high success result. However, difficulty in surgical exposure during revision has been encountered. The purpose of this study was to evaluate the clinical results of two-stage reimplantation of an infected total knee arthroplasty using a static antibiotic-...

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The PROSTALAC functional spacer in two-stage revision for infected knee replacements. Prosthesis of antibiotic-loaded acrylic cement.

The PROSTALAC functional spacer is made of antibiotic-loaded acrylic cement but has a small metal-on-polythene articular surface. We have used it as an interim spacer in two-stage exchange arthroplasty for infected total knee replacement. PROSTALAC allows continuous rehabilitation between stages as it maintains good alignment and stability of the knee and a reasonable range of movement. It also...

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Two-stage Revision for Periprosthetic Hip and Knee Joint Infections

BACKGROUND Periprosthetic joint infection (PJI) continues to be one of the leading causes of failure following hip and knee surgery. The diagnostic workflow of PJI includes detailed clinical examination, serum markers, imaging and aspiration/biopsy of the affected joint. The goals of treatment are eradication of the infection, alleviation of pain, and restoration of joint function. Surgical man...

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ژورنال

عنوان ژورنال: International Orthopaedics

سال: 1998

ISSN: 0341-2695,1432-5195

DOI: 10.1007/s002640050244