Use of the Articulated Spacer in Managing an Infected Total Knee Arthroplasty (original) (raw)

2017

Abstract

In modern Orthopaedics, the number of total knee replacements being performed continues to increase. As such, the absolute numbers of cases which become infected have also increased and hence, knowledge of the management of infected total joint replacements will continue to be of utmost importance. The choice of treatment depends on a variety of reasons including the chronicity of infection, virulence of the infecting organism and the host factors (e.g. age, health, immunologic compromise). The treatment goals aims to eradicate infection while preserving knee function and controlling pain. Surgical alternatives include arthrodesis, debridement and prosthesis retention, resection arthroplasty, single or two-stage exchange arthroplasty. In the majority of cases twostage exchange arthroplasty remains the gold standard of care. An articulated spacer plays an important role in this procedure in making the second operation technically easier while simultaneously achieving quicker return t...

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