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Current Reviews in Musculoskeletal Medicine

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01-12-2015 | Revision Knee Arthroplasty (R Rossi, Section Editor)

The use of spacers (static and mobile) in infection knee arthroplasty

Authors: Luca Mazzucchelli, Federica Rosso, Antongiulio Marmotti, Davide Edoardo Bonasia, Matteo Bruzzone, Roberto Rossi

Published in: Current Reviews in Musculoskeletal Medicine | Issue 4/2015

Abstract

Revision total knee arthroplasty (TKA) is the treatment of choice in patients with periprosthetic joint infection. It may be performed in either a single stage or two stages. In the latter option, between stages, an antibiotic-loaded spacer may be used to maintain a certain amount of joint stability and mobility after the infected implant is removed, adding an intra-articular concentration of antibiotics. There are two types of antibiotic-loaded cement spacers: static and dynamic. Static spacers basically create a temporary arthrodesis with antibiotic-loaded cement and usually are handmade within the surgical field. Dynamic spacers can be created intraoperatively by using different tools or may be prepackaged by the manufacturer; they allow range of motion between stages. In this article, the authors review the indications, surgical techniques, and results for static and dynamic spacers in two-stage revision TKA.

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Title: The use of spacers (static and mobile) in infection knee arthroplasty
Authors: Luca Mazzucchelli
Federica Rosso
Antongiulio Marmotti
Davide Edoardo Bonasia
Matteo Bruzzone
Roberto Rossi
Publication date: 01-12-2015
Publisher: Springer US
Published in: Current Reviews in Musculoskeletal Medicine / Issue 4/2015
Electronic ISSN: 1935-9748
DOI: https://doi.org/10.1007/s12178-015-9293-8

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The use of spacers (static and mobile) in infection knee arthroplasty

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Keynote webinar | Spotlight on medication adherence

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