Journal
JOURNAL OF ARTHROPLASTY
Volume 20, Issue 6, Pages 757-762Publisher
CHURCHILL LIVINGSTONE INC MEDICAL PUBLISHERS
DOI: 10.1016/j.arth.2004.11.014
Keywords
total knee arthroplasty; infection; revision; cement; spacer
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Articulated antibiotic impregnated cement spacers permit knee motion and may facilitate patient mobilization during 2-stage treatment of infected total knee arthroplasty (TKA). However, molds for articulating knee spacers are not always readily available. We have treated 13 infected total knee arthroplasties with large bone defects or collateral ligament loss using the rubber bulb portion of an irrigation syringe and a bipolar trial to create a ball and socket articulating spacer. This technique was successful in controlling infection in 9 of 13 knees. All patients were able to ambulate independently with the spacer in place using a walker or crutches, including one patient with bilateral spacers. At an average follow-up of 28 months after reimplantation, average knee flexion was 98 degrees.
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