The Journal of Bone and Joint Surgery (American). 2007;89:871-882.
doi:10.2106/JBJS.E.01070
© 2007 The Journal of Bone and Joint Surgery, Inc.
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow CME: Take the exams for this article:
 Adult Knee Reconstruction Test 15: Summer 2007 (publication date August 15,...
CME 2: April, May, June 2007 (publication date July 5, 2007; expiration dat...
Right arrow [FREE Spanish Translation]
Right arrow [Supplementary Material]
Right arrow Letters to the Editor: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when Letters to the Editor are posted
Right arrow Alert me if a correction is posted
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrowReprints and Permissions
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Cui, Q.
Right arrow Articles by Saleh, K. J.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Cui, Q.
Right arrow Articles by Saleh, K. J.
Related Collections
Right arrow Current Concepts Review
Right arrow Adult Knee
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Technorati  
What's this?

Current Concepts Review

Antibiotic-Impregnated Cement Spacers for the Treatment of Infection Associated with Total Hip or Knee Arthroplasty

Quanjun Cui, MD, MS1, William M. Mihalko, MD, PhD1, John S. Shields, MD1, Michael Ries, MD2 and Khaled J. Saleh, MD, MSc, FRCS(C)3

1 Department of Orthopaedic Surgery, University of Virginia, Box 800159, Charlottesville, VA 22908
2 Department of Orthopaedic Surgery, University of California San Francisco Medical Center, 500 Parnassus Avenue, San Francisco, CA 94143
3 Department of Orthopaedic Surgery and Health Evaluative Sciences, University of Virginia, 400 Ray C. Hunt Drive, Charlottesville, VA, 22903. E-mail address: Saleh@Virginia.edu

The first 150 words of the full text of this article appear below.


   Introduction
 
Formula Infection at the site of a total joint arthroplasty can be classified into four basic categories: Type I (early postoperative), Type II (late chronic), Type III (acute hematogenous), and Type IV (positive intraoperative cultures with clinically unapparent infection).

Formula The current standard of care for late chronic infection is considered to be two-stage revision arthroplasty including removal of the prosthesis and cement, thorough débridement, placement of an antibiotic-impregnated cement spacer, a course of intravenous antibiotics, and a delayed second-stage revision arthroplasty.

Formula The choice of the spacer, either articulating or nonarticulating, is based on many factors, including the amount of bone loss, the condition of the soft tissues, the need for joint motion, the availability of prefabricated spacers or molding methods, and antibiotic selection.

Formula Current data have demonstrated that the use of antibiotic-impregnated cement spacers has improved the outcomes of the treatment of infection associated with total joint arthroplasty.

. . . [Full Text of this Article]


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Technorati Technorati    What's this?