Two-Stage Reimplantation for the Treatment of Infected Total Knee Arthroplasty

Lee, Duk Yong; Shim, Jae Ik; Kim, Taik Seon; Lee, Sung Jong; Lee, Suck Ha; Lee, Dong Ki; Yoo, Yeon Sik; Han, Yong

doi:10.4055/jkoa.1999.34.2.319

Cited by 2 publications

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“…Currently, two-stage revision arthroplasty is widely performed for the treatment of infected TKA. The two-stage procedure consists of removal of knee components followed by intravenous antibiotic treatment and use of antibiotic-loaded bone cement to increase the concentration of antibiotics at the infection site 3 , 10 , 12 , 13) . In particular, articulating cement spacers are preferred in two-stage revisions for prevention of joint contractures and retention of ROM.…”

Section: Discussionmentioning

confidence: 99%

Two-Stage Revision Using a Modified Articulating Spacer in Infected Total Knee Arthroplasty

Kim

Bae

Cho

et al. 2013

Knee Surg Relat Res

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PurposeTo evaluate clinical results of two-stage revision using a modified articulating spacer for treatment of infected total knee arthroplasty (TKA).Materials and MethodsWe retrospectively reviewed 20 cases treated by two-stage revision arthroplasty using a modified articulating spacer under the diagnosis of infected TKA from January 2006 to December 2011. The mean follow-up period was 22.3 months. The first operation consisted of debridement after removal of the prosthesis, reinsertion of the femoral component after autoclaving, and implantation of antibiotic-loaded cement with a new polyethylene in the proximal tibia.ResultsThe mean period between the primary TKA and the first stage operation was 39 months and between the first stage operation and the revision arthroplasty was 3.3 months. The average range of motion (ROM) increased from 69.8° preoperatively to 102.8° postoperatively (p<0.001). The mean Knee Society knee score increased from 33.8 points to 85.3 points (p<0.001). The mean Knee Society function score increased from 35 points to 87.5 points (p<0.001). The mean Hospital for Special Surgery score increased from 57.6 points preoperatively to 82.6 points postoperatively (p<0.001). Two cases (10%) were re-infected after the revision arthroplasty.ConclusionsTwo-stage revision arthroplasty using an articulating cement spacer can be an effective therapy not only for the treatment of an infected TKA but also for recovery of knee ROM and function.

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Section: Discussionmentioning

confidence: 99%