External fixator arthrodesis antibiotic spacer in two-stage revision total knee arthroplasty for eradication of periprosthetic joint infection

External fixator arthrodesis antibiotic spacer in two-stage revision total knee arthroplasty for eradication of periprosthetic joint infection

Blog Article

Two-stage revision total knee arthroplasty remains the gold standard for management of chronic periprosthetic joint infection in North America.Static cement antibiotic spacers used after knee resection to deliver high-dose antibiotics lack primary stability, potentially leading to spacer migration or dislocation, additional bone loss, extensor mechanism erosion, and even duospiritalis.com knee subluxation or frank dislocation.A custom brace or cast is often required to augment knee stability, which is time-consuming, costly, and prevents monitoring or wound care of the soft tissues.An external fixator arthrodesis antibiotic spacer can provide primary stability without a brace or cast, allowing for soft-tissue monitoring and care, and minimizes potential spacer complications.We present the bovi-shield gold fp 5 l5 technique for implanting and removing this specific external fixator arthrodesis antibiotic spacer.

Keywords: Total knee arthroplasty, Infection, Periprosthetic joint infection, Antibiotic spacer, Static spacer.