Searching for just a few words should be enough to get started. If you need to make more complex queries, use the tips below to guide you.
Article type: Research Article
Authors: Skwara, A.a | Tibesku, C.b | Paletta, R.J.R.c | Sommer, C.c | Krödel, A.d | Lahner, M.d; e | Daniilidis, K.b; *
Affiliations: [a] Orthopädische Gemeinschaftspraxis Borken, Borken, Germany | [b] Sporthopaedicum Straubing, Straubing, Germany | [c] Department of Orthopaedics and Rheumatology, University Hospital Marburg, Marburg, Germany | [d] Alfried Krupp Krankenhaus, Rüttenscheid, Essen, Germany | [e] Ruhr Universität Bochum, Bochum, Germany
Correspondence: [*] Corresponding author: Kiriakos Daniilidis, Sporthopaedicum Straubing, Bahnhofplatz 8, 94315 Straubing, Germany. Tel.: +49 09421 99570; E-mail:kraj@gmx.net
Abstract: BACKGROUND: The standard treatment of a periprosthetic infection after TKA involves a two-stage reimplantation with the intermittent implantation of spacers. Different designs of spacers have been described; currently articulating spacers and fixed spacers are used. The aim of the present study is to compare the advantages/disadvantages of the different spacers. PATIENTS AND METHODS: In this retrospective study we analyzed 37 cases after revision surgery of infected TKA. All patients that received spacers as part of the two-stage reimplantation were included. Exclusion criteria were massive bone loss prior to revision, because the implantation of a mobile spacer would not have been possible. RESULTS: The average ROM was 98.0 (± 14.9) degrees in the articulating spacer group (group 1) and 79.3 (± 22.5) in the group that received the fixed spacers (group 2) before revision surgery started. At a late follow up the average ROM for group 1 was 102.0 (± 8.4) and 79.0 (± 26) for group 2. CONCLUSION: The use of articulating spacers in the two-stage revision for infected total knee arthroplasty is a safe alternative to fixed spacers, that equally preserves ligament balancing and has equal infection eradication rates. A long term improvement of the range of motion following reimplantation of the new joint was, however, not observed.
Keywords: Total knee arthroplasty (TKA), infection, two-stage revision, spacer
DOI: 10.3233/THC-161152
Journal: Technology and Health Care, vol. 24, no. 4, pp. 571-577, 2016
IOS Press, Inc.
6751 Tepper Drive
Clifton, VA 20124
USA
Tel: +1 703 830 6300
Fax: +1 703 830 2300
sales@iospress.com
For editorial issues, like the status of your submitted paper or proposals, write to editorial@iospress.nl
IOS Press
Nieuwe Hemweg 6B
1013 BG Amsterdam
The Netherlands
Tel: +31 20 688 3355
Fax: +31 20 687 0091
info@iospress.nl
For editorial issues, permissions, book requests, submissions and proceedings, contact the Amsterdam office info@iospress.nl
Inspirees International (China Office)
Ciyunsi Beili 207(CapitaLand), Bld 1, 7-901
100025, Beijing
China
Free service line: 400 661 8717
Fax: +86 10 8446 7947
china@iospress.cn
For editorial issues, like the status of your submitted paper or proposals, write to editorial@iospress.nl
如果您在出版方面需要帮助或有任何建, 件至: editorial@iospress.nl