|کد مقاله||کد نشریه||سال انتشار||مقاله انگلیسی||ترجمه فارسی||نسخه تمام متن|
|6211198||1267207||2015||3 صفحه PDF||سفارش دهید||دانلود کنید|
- Infected periprosthetic fractures represent a unique set of challenges.
- Infection eradication and fracture stabilization have to be conducted simultaneously
- Simultaneous treatment of infected lower limb implants with fractures limit mobility
- Using a stemmed articulating spacer in the knee aids mobility
BackgroundWe present a case of multifocal infection involving the left total hip replacement and the right total knee replacement of a patient, further complicated by an infected non-union of a periprosthetic fracture of the right knee. This required the unique simultaneous management of both infection eradication and fracture stabilization in the knee.MethodsBoth sites were treated with a two-stages procedure, including the novel use of a stemmed articulating spacer for the right knee. This spacer was made combining a retrograde humeral nail, coated with antibiotic-impregnated cement, and a pre-formed articulating cement spacer. The patient was able to weight-bear on this spacer.ResultsThe fracture went on to unite, and a second stage was performed with the use of stemmed prosthesis and augments. She remains infection free two years after the second stage operation.ConclusionsThe use of a stemmed articulating knee spacer can facilitate infection eradication and fracture stabilization while preserving some motion and weight-bearing ability in the two-stages management of an infected periprosthetic fracture of the knee.Level of evidenceLevel V (Case report).
Journal: The Knee - Volume 22, Issue 5, October 2015, Pages 440-442