One and a Half-Stage Revision With Prosthetic Articulating Spacer for Definitive Management of Knee Periprosthetic Joint Infection

被引:5
作者
Siddiqi, Ahmed [1 ,2 ,3 ]
Mahmoud, Yusuf [2 ]
Forte, Salvador A. [4 ]
Novack, Thomas A. [5 ]
Nace, James [5 ,6 ]
机构
[1] Orthoped Inst Brielle Orthoped, Div Ortho NJ, Manasquan, NJ USA
[2] Hackensack Meridian Sch Med, Nutley, NJ USA
[3] Hackensack Meridian Hlth, Edison, NJ USA
[4] Philadelphia Coll Osteopath Med, Dept Orthoped Surg, Philadelphia, PA USA
[5] Sinai Hosp Baltimore, Rubin Inst Adv Orthoped, Baltimore, MD USA
[6] Sinai Hosp Baltimore, Rubin Inst Adv Orthoped, 2401 W Belvedere Ave, Baltimore, MD 21215 USA
来源
ARTHROPLASTY TODAY | 2023年 / 19卷
关键词
Periprosthetic joint infection; Staged revision; Total knee arthroplasty; TKA spacer; TKA; SINGLE-STAGE; 2-STAGE EXCHANGE; ARTHROPLASTY; PROTOCOL; TKA; HIP;
D O I
10.1016/j.artd.2022.07.009
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
This paper is a comprehensive review that describes indications, contraindications, clinical outcomes, and pearls and pitfalls of 1.5-stage revision total knee arthroplasty (TKA) utilizing a primary TKA femoral component, all-polyethylene tibial component, and hand-crafted antibiotic cement for the management of chronic periprosthetic joint infection. The 1.5-stage exchange TKA details placement of an articulating spacer for an indefinite period, prolonging revision until reinfection, deterioration of functional status, or construct failure. A 1.5-stage revision TKA technique is a viable option for treatment of chronic periprosthetic knee infections. The inherent advantages of decreased health-care costs, decreased morbidity and mortality, and improved emotional ease from having a single procedure is attractive, especially if reinfection rates are determined to be equivocal to 2-stage revision.(c) 2022 The Authors. Published by Elsevier Inc. on behalf of The American Association of Hip and Knee Surgeons. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/ licenses/by-nc-nd/4.0/).
引用
收藏
页数:7
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