Preformed Articulating Knee Spacers in 2-Stage Total Knee Revision Arthroplasty. Minimum 2-Year Follow-Up

Zhinian Wan, Amit Momaya, Azim Karim, Stephen J. Incavo, Kenneth Mathis

Research output: Contribution to journalArticle

31 Scopus citations

Abstract

Two-stage revision arthroplasty using articulating spacers for the treatment of infected total knee arthroplasty (TKA) is a successful management technique. Our purpose was to report our results using preformed, commercially available articulating spacers made of gentamicin-impregnated cement. Thirty-three patients with infected primary or revision TKAs were treated with these spacers using a 2-stage revision technique. In most cases, the spacers were modified intraoperatively by adding a stem of reinforced antibiotic-impregnated acrylic cement. Successful eradication was achieved in 30 of 33 cases at a minimum 2-year follow-up interval. Two patients required a second spacer before successful revision TKA. No spacer fractures or dislocations occurred in this series. No adverse soft tissue effects were noted from the use of this type of articulating spacer.

Original languageEnglish (US)
Pages (from-to)1469-1473
Number of pages5
JournalJournal of Arthroplasty
Volume27
Issue number8
DOIs
StatePublished - Sep 1 2012

Keywords

  • Articulating spacer
  • Cement spacer
  • Infected total knee
  • Revision total knee

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

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