Late infections of the knee joint: Two-stage articulating solutions

O. B. Nikolaus, Matthew Abdel

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Two-stage exchange is the gold standard for the treatment of chronic total knee arthroplasty (TKA) infections in North America. Cement spacers impregnated with high- dose antibiotics have successfully been utilized in the interim period of the two-stage exchange. A number of non-articulating and articulating spacers have been described. With an intact extensor mechanism, a reasonable soft-tissue envelope, and adequate bone, articulating antibiotic spacers provide several advantages. These include an infection eradication rate of approximately 90 %, a higher range of motion after reimplantation, and lower complication rates when compared with non-articulating spacers. In the appropriate patient, articulating antibiotic spacers are an effective and a safe treatment choice in the two- stage exchange process for infected TKAs.

Original languageEnglish (US)
Title of host publicationPeriprosthetic Joint Infections
Subtitle of host publicationChanging Paradigms
PublisherSpringer International Publishing
Pages267-282
Number of pages16
ISBN (Electronic)9783319300917
ISBN (Print)9783319300894
DOIs
StatePublished - May 31 2016

Keywords

  • Articulating antibiotic spacer
  • Non-articulating antibiotic spacer
  • Periprosthetic joint infection (PJI)
  • Total knee arthroplasty (TKA)
  • Two- stage exchange

ASJC Scopus subject areas

  • Medicine(all)
  • Health Professions(all)

Fingerprint Dive into the research topics of 'Late infections of the knee joint: Two-stage articulating solutions'. Together they form a unique fingerprint.

  • Cite this

    Nikolaus, O. B., & Abdel, M. (2016). Late infections of the knee joint: Two-stage articulating solutions. In Periprosthetic Joint Infections: Changing Paradigms (pp. 267-282). Springer International Publishing. https://doi.org/10.1007/978-3-319-30091-7_23