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

Fingerprint

Knee Joint
Anti-Bacterial Agents
Infection
Knee Replacement Arthroplasties
Replantation
Articular Range of Motion
North America
Bone and Bones
Therapeutics

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)

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

Late infections of the knee joint : Two-stage articulating solutions. / Nikolaus, O. B.; Abdel, Matthew.

Periprosthetic Joint Infections: Changing Paradigms. Springer International Publishing, 2016. p. 267-282.

Research output: Chapter in Book/Report/Conference proceedingChapter

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