Document Detail


Articulating spacers for the treatment of infected total knee arthroplasty: effect of antibiotic combinations and concentrations.
MedLine Citation:
PMID:  23276347     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Performing 2-stage procedures using articulating antibiotic cement spacers to eradicate infection while providing pain relief and maintaining function has become common among many surgeons. Despite the efficacy of antibiotic cement spacers in the treatment of infected total knee arthroplasty, questions remain regarding the dosing of the antibiotic cement.The authors assessed their experience with different antibiotic regimens and concentrations for the eradication of infection. Sixty-nine infected total knee arthroplasties with an average follow up of 31 months (range, 6-70 months) treated with articulating antibiotic spacers were retrospectively reviewed. Treatment groups were divided according to spacer antibiotic agents used and the amount of antibiotics added to the cement. Low-dose spacers were defined as those incorporating less than 4 g of antibiotic per 40-g bag of cement, and high-dose spacers were defined as those incorporating 4 g or more of antibiotic per 40-g bag of cement. High- vs low-dose spacers using a single or multiple antibiotic agents were compared. The overall rate of infection eradication was 88%. Dose dependency was not detected for spacers that incorporated single or multiple antibiotic agents, and multiple-agent spacers produced comparable success rates despite more frequent use in patients with impaired immune function.Further study of optimal combinations and concentrations of antibiotic agents incorporated into these spacers is needed to help minimize treatment failures while maximizing treatment efficacy.
Authors:
John F Nettrour; John A Polikandriotis; Thomas L Bernasek; Kenneth A Gustke; Steven T Lyons
Related Documents :
23507037 - Combined treatment with benznidazole and allopurinol in mice infected with a virulent t...
24292247 - Epidemiological investigation of equine piroplasmosis in china by enzyme-linked immunos...
24502247 - Direct non-productive hiv-1 infection in a t-cell line is driven by cellular activation...
22993177 - Gardnerella vaginalis as a rare cause of prosthetic joint infection.
6178717 - Effect of combined antibiotic therapy on fertility in brood bitches infected with bruce...
15990977 - A murine model of pulmonary basidiomycosis by schizophyllum commune.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Orthopedics     Volume:  36     ISSN:  1938-2367     ISO Abbreviation:  Orthopedics     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-01-01     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7806107     Medline TA:  Orthopedics     Country:  United States    
Other Details:
Languages:  eng     Pagination:  e19-24     Citation Subset:  IM    
Copyright Information:
Copyright 2013, SLACK Incorporated.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Functional data for the diagnosis of patellofemoral laxity obtained by MRI during quadriceps isometr...
Next Document:  Validity and reliability of radiographic knee osteoarthritis measures by arthroplasty surgeons.