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Orthopaedic Proceedings
Vol. 97-B, Issue SUPP_10 | Pages 27 - 27
1 Oct 2015
Shivanna D
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Aims

1. A two-stage revision remains as the “gold standard” treatment for chronically infected total knee arthroplaties. 2. Evaluate technical challenges in two stage revision.

Materials and Methods

Fourteen septic knee prostheses were revised with a minimum follow-up of 2 years. Static antibiotic-impregnated cement spacers were used in all cases. Intravenous antibiotics according to sensitivity test of the culture were applied during patients’ hospital stay and continued up to 3 weeks. Oral antibiotics were given for another 3 weeks. Second-stage surgery was undertaken after control of infection with normal erythrocyte sedimentation rate and C-reactive protein values. Extensile techniques were used if needed and metallic augments were employed for bone loss in revision of both femur and tibia components.