Recovery of knee mobility after a static or mobile spacer in total knee infection.

نویسندگان

  • Jaap Brunnekreef
  • Gerjon Hannink
  • Maarten de Waal Malefijt
چکیده

The purpose of the study was to compare the recovery of knee mobility after two-stage revision of an infected total knee arthroplasty using a static or mobile spacer. At 12 months follow-up, none of the patients had a recurrent infection of their new prosthesis. Knee flexion was lower in the static spacer group at 3, 6 and 12 months postoperatively. Patients that received a mobile spacer had a better and faster recovery of their knee function. The operation time of re-implantation was shorter in the mobile spacer group than in the static spacer group. Our results suggest that patients treated with a mobile spacer have a faster recovery of the knee range of motion and a shorter operation time, including for the subsequent re-implantation of a prosthesis. Our results support the use of the mobile spacer in patients with an infected TKA that are treated with a two-stage revision of the prosthesis.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Two-stage Total Knee Arthroplasty for Treatment of Surgical Failure of Septic Arthritis in Degenerative Knee Joints

Background: The ultimate goal of the treatment of infectious knee arthritis is to protect the articular cartilage fromadverse effects of infection. Treatment, however, is not always hundred percent successful and has a 12% failurerate. Persistent infection is more likely to happen in elderly patients and those with underlying joint diseases,particularly osteoarthritis. Eradica...

متن کامل

Knee Fusion or Above-The-Knee Amputation after Failed Two-Stage Reimplantation Total Knee Arthroplasty

Prosthetic joint infection (PJI) is a serious complication of total knee arthroplasty (TKA). Control of infection after a failed two-stage TKA is not always possible, and the resolution of infection may require an above-knee amputation (AKA) or a the-knee (KF). The purpose of this review is to determine which treatment method (AKA or KF) yields better function and ambulatory status for patients...

متن کامل

Effect of a Self-Care Application on Pain and Motor Rehabilitation Following Total Knee Arthroplasty

 Background and purpose: Today, development of telemedicine technology has led to wide use of smartphone to connect patients and health care teams to improve patient care. The aim of this study was to determine the effect of a self-care application on pain and mobility rehabilitation in patients following total knee arthroplasty surgery. Materials and methods: A randomized controlled clinical ...

متن کامل

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-...

متن کامل

Biarticular total femur spacer for massive femoral bone loss: the mobile solution for a big problem

Bone cement spacers loaded with antibiotic are the gold standard in septic revision. However, the management of massive bone defects constitutes a surgical challenge, requiring the use of different nails, expensive long stems, or cement-coated tumor prostheses for preparing the spacer. In most cases, the knee joint must be sacrificed. We describe a novel technique for preparing a biarticular to...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Acta orthopaedica Belgica

دوره 79 1  شماره 

صفحات  -

تاریخ انتشار 2013