Static antibiotic spacers augmented by calcium sulphate impregnated beads in revision TKA: Surgical technique and review of literature

Risitano, S., et al. Journal of Orthopaedics, 2018. 15(2): p. 313-318.

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This paper reviews the socioeconomic impact and conventional treatment protocols for infected Total Knee Arthroplasty (TKA) and describes surgical techniques for cases of acute or chronic infection of the implant. For cases of an acute or haematogenous infection treatment involves a Debridement, Antibiotic Pearls (antibiotic loaded STIMULAN) and Retention of Implant (DAPRI) procedure. For cases of a delayed or chronic PJI of the implant a two-stage revision is recommended, using static, custom-made antibiotic loaded spacers augmented by calcium sulphate antibiotic-impregnated beads (STIMULAN) to improve the success rate of infected TKA revision. The abstract can be read, and the full paper can be obtained here.

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