Initial Results of Managing Severe Bone Loss in Infected Total Joint Arthroplasty Using Customized Articulating Spacers

被引：31

作者：

Incavo, Stephen J. ^{[1
]}

Russell, Robert D. ^{[2
]}

Mathis, Kenneth B. ^{[1
]}

Adams, Holly ^{[1
]}

机构：

[1] Methodist Hosp, Dept Orthopaed Surg, Houston, TX 77030 USA

[2] Baylor Coll Med, Houston, TX 77030 USA

来源：

JOURNAL OF ARTHROPLASTY | 2009年 / 24卷 / 04期

关键词：

spacer; infection; arthroplasty; customized; 2-stage exchange; TOTAL KNEE ARTHROPLASTY; TOTAL HIP-ARTHROPLASTY; 2-STAGE REIMPLANTATION; UNITED-STATES; REVISION HIP; FOLLOW-UP; RECONSTRUCTION; CLASSIFICATION; REPLACEMENT; PROSTHESIS;

D O I：

10.1016/j.arth.2008.03.017

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：

Twenty-three cases of infected total joint arthroplasty with Substantial bone loss were treated with a cement spacer, which was customized intraoperatively to achieve joint stability and to allow motion. All but One Of the patients were ambulatory with the spacer in place. Spacer dislocation occurred in 1 hip patient (9%) and in none of the knee patients. Articulating antibiotic-impregnated spacers with intraoperative customization is our preferred treatment of cases of infected total joint arthroplasty even in the presence of bone loss.

引用

页码：607 / 613

页数：7

共 23 条

[21]

WILDE AH, 1988, CLIN ORTHOP RELAT R, P23

[22] 2-STAGE REIMPLANTATION FOR THE SALVAGE OF TOTAL KNEE ARTHROPLASTY COMPLICATED BY INFECTION - FURTHER FOLLOW-UP AND REFINEMENT OF INDICATIONS [J].

WINDSOR, RE ;

INSALL, JN ;

URS, WK ;

MILLER, DV ;

BRAUSE, BD .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1990, 72A (02) :272-278

[23] Treatment of infection associated with segmental bone loss in the proximal part of the femur in two stages with use of an antibiotic-loaded interval prosthesis [J].

Younger, ASE ;

Duncan, CP ;

Masri, BA .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1998, 80A (01) :60-69

← 1 2 3 →