One and a Half-Stage Revision With Prosthetic Articulating Spacer for Definitive Management of Knee Periprosthetic Joint Infection.

Authors

Ahmed Siddiqi
Yusuf Mahmoud
Salvador A. Forte, Philadelphia College of Osteopathic Medicine
Thomas A Novack
James Nace

Document Type

Article

Publication Date

2-1-2023

Abstract

This paper is a comprehensive review that describes indications, contraindications, clinical outcomes, and pearls and pitfalls of 1.5-stage revision total knee arthroplasty (TKA) utilizing a primary TKA femoral component, all-polyethylene tibial component, and hand-crafted antibiotic cement for the management of chronic periprosthetic joint infection. The 1.5-stage exchange TKA details placement of an articulating spacer for an indefinite period, prolonging revision until reinfection, deterioration of functional status, or construct failure. A 1.5-stage revision TKA technique is a viable option for treatment of chronic periprosthetic knee infections. The inherent advantages of decreased health-care costs, decreased morbidity and mortality, and improved emotional ease from having a single procedure is attractive, especially if reinfection rates are determined to be equivocal to 2-stage revision.

Comments

This article was published in Arthroplasty Today, Volume 19.

The published version is available at https://doi.org/10.1016/j.artd.2022.07.009.

Copyright © 2022 The Authors. CC BY-NC-ND.

Publication Title

Arthroplasty Today

Recommended Citation

Siddiqi, Ahmed; Mahmoud, Yusuf; Forte, Salvador A.; Novack, Thomas A; and Nace, James, "One and a Half-Stage Revision With Prosthetic Articulating Spacer for Definitive Management of Knee Periprosthetic Joint Infection." (2023). Orthopedic Surgery Resident Research. 69.
https://digitalcommons.pcom.edu/orthopedic_surgery_residents/69

PubMed ID

36507285