Two-stage Reimplantation in Infected Total Knee Arthroplasty Using a Re-sterilized Tibial Polyethylene Insert and Femoral Component

2012 ◽  
Vol 27 (9) ◽  
pp. 1701-1706.e1 ◽  
Author(s):  
Jin Kyu Lee ◽  
Choong H. Choi
Keyword(s):  
Total Knee Arthroplasty ◽  
Femoral Component ◽  
Knee Arthroplasty ◽  
Polyethylene Insert ◽  
Two Stage ◽  
Infected Total Knee Arthroplasty ◽  
Total Knee

Flash Sterilization and Component Reimplantation Is a Viable Option for Articulating Antibiotic Spacers in Periprosthetic Knee Infections

2020 ◽  
Author(s):  
Vasili Karas ◽  
Richard W. Rutherford ◽  
Thomas A. Herschmiller ◽  
Johannes F. Plate ◽  
Michael P. Bolognesi ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Femoral Component ◽  
Knee Arthroplasty ◽  
Joint Infection ◽  
Two Stage ◽  
Infected Total Knee Arthroplasty ◽  
Articulating Spacer ◽  
Total Knee ◽  
Antibiotic Spacer

AbstractThe articulating antibiotic spacer is a treatment utilized for two-stage revision of an infected total knee arthroplasty. The original femoral component is retained and reused in one described variation of this technique. The purpose of this study is to determine the safety and efficacy of flash sterilization of the femoral component for reimplantation in an articulating antibiotic spacer for the treatment of chronic periprosthetic joint infection. A total of 10 patients were identified prospectively with a culture positive infected total knee arthroplasty. The patients underwent explantation, debridement, and placement of an articulating antibiotic spacer consisting of the explanted and sterilized femoral component and a new polyethylene tibial insert. The explanted tibial components were cleaned and flash-sterilized with the femoral components, but the components were then aseptically packaged and sent to our microbiology laboratory for sonication and culture of the sonicate for 14 days. Ten of 10 cleaned tibial components were negative for bacterial growth of the infecting organism after final testing and analysis. At 18-month follow-up, 9 of 10 of patients remained clear of infection. Among the 10 patients, 7 were pleased with their articulating spacer construct and had no intention of electively pursuing reimplantation. Also, 3 of 10 of patients were successfully reimplanted at a mean of 6.5 months after explantation. Autoclave sterilization and reimplantation of components may be a safe and potentially resource-sparing method of articulating spacer placement in two-stage treatment of PJI. Patient follow-up demonstrated clinical eradication of infection in 90% of cases with good patient tolerance of the antibiotic spacer.

Antibiotic-Loaded Spacer for Two-Stage Revision of Infected Total Knee Arthroplasty

2016 ◽  
Vol 30 (03) ◽  
pp. 231-237 ◽  
Author(s):  
Eugenio Vecchini ◽  
Francesco Perusi ◽  
Marco Scaglia ◽  
Tommaso Maluta ◽  
Franco Lavini ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Two Stage ◽  
Infected Total Knee Arthroplasty ◽  
Total Knee

scholarly journals Revision of Infected Total Knee Arthroplasty: Two-Stage Reimplantation Using an Antibiotic-Impregnated Static Spacer

2013 ◽  
Vol 5 (3) ◽  
pp. 180 ◽  
Author(s):  
Antonio Silvestre ◽  
Fernando Almeida ◽  
Pablo Renovell ◽  
Elena Morante ◽  
Raúl López
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Two Stage ◽  
Infected Total Knee Arthroplasty ◽  
Total Knee

An intraoperatively moulded PMMA prostheses like spacer for two-stage revision of infected total knee arthroplasty

The Knee ◽  
2011 ◽  
Vol 18 (6) ◽  
pp. 464-469 ◽  
Author(s):  
Sandro Kohl ◽  
Dimitrios S. Evangelopoulos ◽  
Hendrik Kohlhof ◽  
Andreas Krueger ◽  
Maximilian Hartel ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Two Stage ◽  
Infected Total Knee Arthroplasty ◽  
Total Knee
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