Revisionsendoprothetik des Kniegelenks

Kremer, M.; Gramlich, Yves; Hoffmann, Reinhard

doi:10.1055/a-1149-9654

Cited by 3 publications

(1 citation statement)

References 34 publications

(26 reference statements)

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“…Furthermore, a meticulously crafted articulating spacer, balanced through precise cement augmentation of a predetermined size, empowers the surgeon to effectively plan for a potential second-stage revision. This foresight enables the anticipation of defects and the necessary augmentations [26]. Consequently, a streamlined surgical process not only minimizes operating time but also limits joint exposure, potentially reducing both intraoperative and postoperative complications.…”

Section: Discussionmentioning

confidence: 99%

Augmented Articulating Spacers in Infected Total Knee Arthroplasty: Surgical Technique

De Mauro,

Festa,

Di Gennaro

et al. 2024

Healthcare

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Periprosthetic joint infections (PJIs) are a prominent subject of discussion in orthopedics and are frequently debated at conferences and congresses. In the context of PJIs affecting the knee, the decision between following a one-stage or two-stage treatment approach has historically been a pivotal consideration. The first option is limited by indications and potentially devastating complications in case of failure, whereas the second is widely accepted as the gold standard. Initially, the spacer was conceived solely to restore and maintain knee space after removal of the implant. An articulating spacer was introduced to mitigate patient limitations and improve knee function and quality of life. Two main types of articulating spacers are utilized in knee PJI treatment: the mold spacer and the metal-on-poly spacer. This text outlines a technique for metal-on-poly spacer implants. Based on our experience and the existing literature, this approach facilitates early full weight bearing and faster recovery of the knee’s range of motion, ultimately improving the quality of life after surgery, thus allowing the spacer retention for an extended period, as suggested by the 1.5-stage revision.

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Section: Discussionmentioning

confidence: 99%