کد مقاله کد نشریه سال انتشار مقاله انگلیسی ترجمه فارسی نسخه تمام متن
6211198 1267207 2015 3 صفحه PDF سفارش دهید دانلود کنید
عنوان انگلیسی مقاله
Treatment of infected nonunion total knee arthroplasty periprosthetic fracture using a stemmed articulating spacer
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی ارتوپدی، پزشکی ورزشی و توانبخشی
پیش نمایش صفحه اول مقاله
Treatment of infected nonunion total knee arthroplasty periprosthetic fracture using a stemmed articulating spacer
چکیده انگلیسی


- 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).

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The Knee - Volume 22, Issue 5, October 2015, Pages 440-442
نویسندگان
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