Department of Orthopedic Surgery, National Taiwan University Hospital, Taipei, Taiwan. Received: 27 June 2002 Revised: 29 July 2002 Accepted: 5 November 2002 Reprint requests and correspondence to: Ching-Chuan Jiang, Department of Orthopedic Surgery, National Taiwan University Hospital, 7, Chung-Shan South Road, Taipei 100, Taiwan. Background and Purpose: The management of an infected total kne...

Periprosthetic joint infection is a frequent complication after total hip replacement. Two-stage exchange with the use of a temporary cement spacer is commonplace. Several complications are possible with its use. In addition to infection persistence, mechanical complications such as dislocation or fractures are among the most common. Several risk factors can and should be addressed during first...

Treatment of patients with posttraumatic infected nonunions or highly contaminated open fractures with segmental bone loss of the long bones of the upper extremity is demanding. The use of a 2-stage reconstruction technique, being the first stage characterized by thorough debridement, copious lavage, soft tissue coverage, and placement of a cement spacer with antibiotics at the infected site, a...

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-...

Copyright © Informa Healthcare Ltd 2009. ISSN 1745–3674. Printed in Sweden – all rights reserved. DOI 10.3109/17453670902876771 For treatment of total knee prosthesis infections, a two-stage protocol with explantation of the infected components, antibiotic cement spacer implantation, and secondary reimplantation of the prosthesis after curing the infection is the accepted standard procedure (Wi...

Wolfgang Fitz, MD Brigham and Women’s Hospital Department of Orthopaedic Surgery 75 Francis St. Boston, MA 02115 Office: 617-732-5401 Email: [email protected] INTRODUCTION Infection is a devastating complication of total knee arthroplasty, affecting up to 2% of primary knee arthroplasties and up to 5.6% of revision knee arthroplasties. [1] Two-staged reconstruction --with thorough debridement ...

Two-stage revision in infected knee arthroplasty is standard practice. One problem during the interim period is soft tissue fibrosis. Attempts have been made to preserve leg length and ligament length by introducing spacers, usually made out of antibiotic-loaded bone cement. We present a new interim prosthesis, which is made intra-operatively out of polymethylmethacrylate (PMMA). Antibiotic-loa...

A 58-year-old male presented with native joint septic arthritis of the hip and osteomyelitis. After treatment with an articulating antibiotic spacer, he developed acute renal failure requiring dialysis. He continued to have elevated serum tobramycin levels exclusively from the antibiotic spacer elution as no intravenous tobramycin was used. Subsequent explantation was required to correct his re...

Submit Manuscript | http://medcraveonline.com membrane which is in fact a biological chamber. This prevents graft resorption by inducing vascularization and provides growth factors, it is a two-step procedure. The first step includes an extensive excision of infected and non-viable tissue, it is followed by careful stabilization of the bone and placement of cement spacer in the bone defect .and...