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TREATMENT OF INFECTED TKA USING A NOVEL TECHNIQUE FOR INTRAOPERATIVE CONSTRUCTION OF ANTIBIOTIC SPACERS



Abstract

The author developed a novel technique was for intra-operatively creating an antibiotic spacer for two-stage treatment of infected total knee replacements. An intra-operative mold is made from the removed components and that mold used to create antibiotic spacers with surface contours similar to those of the original total knee replacement. The spacers restore leg length and knee stability. This allows limited function during the interval before reimplantation of the new total knee replacement.

The clinical results of 22 consecutive patients using this technique with minimum of 2 years follow-up appears to be at least equal or better than the previous reports.

It is a cost effective and convenient technique for creating a suitably shaped and sized cement spacer for two-stage revision total knee replacement after infection.

Correspondence should be addressed to ISTA Secretariat, PO Box 6564, Auburn, CA 95604, USA. Tel: 1-916-454-9884, Fax: 1-916-454-9882, Email: ista@pacbell.net