The Journal of Bone and Joint Surgery (American) 83:S92-97 (2001)
© 2001 The Journal of Bone and Joint Surgery, Inc.
Temporary Articulating Methylmethacrylate Antibiotic Spacer (TAMMAS)
A New Method of Intraoperative Manufacturing of a Custom Articulating Spacer
Wayne M. Goldstein, MD,
Matthew Kopplin, MD,
Robin Wall, MSPA-C and
Kimberly Berland, CST-FA
Wayne M. Goldstein, MD
Robin Wall, MS, PA-C
Kimberly Berland, CST-FA
The Center for Orthopaedic Surgery, Illinois Bone and Joint Institute,
150 North River Road, Suite 100, Des Plaines, IL 60016
Matthew Kopplin, MD
Department of Orthopaedics, University of Illinois at Chicago,
209 Medical Sciences South, 901 South Wolcott Avenue, Chicago, IL
60612-7342
In support of their research or preparation of this manuscript,
one or more of the authors received grants or outside funding from
DePuy. None of the authors received payments or other benefits or
a commitment or agreement to provide such benefits from a commercial
entity. No commercial entity paid or directed, or agreed to pay
or direct, any benefits to any research fund, foundation, educational institution,
or other charitable or nonprofit organization with which the authors
are affiliated or associated.
Abstract
A temporary articulating antibiotic-impregnated cement spacer
for use during the first stage of a two-stage revision of a total
knee replacement that had failed because of infection was developed
by one of us (W.M.G.). It is simply a knee prosthesis made of methylmethacrylate
and antibiotics that is manufactured intraoperatively with use of
instruments, medications, and supplies that are already available
at most hospitals. This construct allows for motion of the knee
during treatment of the infection, thereby reducing the risk of
loss of motion after subsequent revision. The technique has been
successfully utilized in five patients since 1999 and has now become
our standard treatment method.
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