Initial Results of Managing Severe Bone Loss in Infected Total Joint Arthroplasty Using Customized Articulating Spacers

Stephen J. Incavo, Robert D. Russell, Kenneth Mathis, Holly Adams

Research output: Contribution to journalArticle

28 Scopus citations

Abstract

Twenty-three cases of infected total joint arthroplasty with substantial bone loss were treated with a cement spacer, which was customized intraoperatively to achieve joint stability and to allow motion. All but one of the patients were ambulatory with the spacer in place. Spacer dislocation occurred in 1 hip patient (9%) and in none of the knee patients. Articulating antibiotic-impregnated spacers with intraoperative customization is our preferred treatment of cases of infected total joint arthroplasty even in the presence of bone loss.

Original languageEnglish (US)
Pages (from-to)607-613
Number of pages7
JournalJournal of Arthroplasty
Volume24
Issue number4
DOIs
StatePublished - Jun 2009

Keywords

  • 2-stage exchange
  • arthroplasty
  • customized
  • infection
  • spacer

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

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