Patient-specific articulating spacer for two-stage shoulder arthroplasty exchange.

IF 1 4区医学 Q3 ORTHOPEDICS

Operative Orthopadie Und Traumatologie Pub Date : 2023-06-01 DOI:10.1007/s00064-023-00801-1

Kilian List, Laura Elisa Streck, Chiara Gaal, Leonard Achenbach, David Dines, Maximilian Rudert

引用次数: 0

Abstract

Objective: Two-stage exchange with an antibiotic-loaded polymethylmethacrylate (PMMA) spacer is standard treatment for chronic periprosthetic joint infection of the shoulder. We present a safe and simple technique for patient-specific spacer implants.

Indication: (Chronic) periprosthetic joint infection of the shoulder.

Relative contraindications: Known allergy against components of PMMA bone cements. Inadequate compliance for two-stage exchange. Patient is unfit to undergo two-stage exchange.

Surgical technique: Hardware removal, histologic and microbiologic samples, and debridement. Preparation of targeted or calculated antibiotic-loaded PMMA. Tailoring of patient-specific spacer. Spacer implantation.

Postoperative management: Rehabilitation protocol. Antibiotic treatment. Reimplantation after successful eradication of infection.

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两期肩关节置换术患者特异性关节间隔器。

目的:载抗生素聚甲基丙烯酸甲酯(PMMA)间隔器两阶段置换是治疗肩关节慢性假体周围感染的标准治疗方法。我们提出一种安全、简单的技术用于患者特异性间隔植入。适应症:(慢性)肩关节假体周围感染。相对禁忌症:已知对PMMA骨水泥成分过敏。两阶段交换的合规性不足。病人不适合做两阶段交换。手术技术:硬体取出，组织学和微生物标本，清创。目标或计算负载抗生素的PMMA的制备。定制针对患者的垫片。间隔植入。术后处理:康复方案。抗生素治疗。成功根除感染后再植。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Operative Orthopadie Und Traumatologie ORTHOPEDICS-

CiteScore

2.10

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： Orthopedics and Traumatology is directed toward all orthopedic surgeons, trauma-tologists, hand surgeons, specialists in sports injuries, orthopedics and rheumatology as well as gene-al surgeons who require access to reliable information on current operative methods to ensure the quality of patient advice, preoperative planning, and postoperative care. The journal presents established and new operative procedures in uniformly structured and extensively illustrated contributions. All aspects are presented step-by-step from indications, contraindications, patient education, and preparation of the operation right through to postoperative care. The advantages and disadvantages, possible complications, deficiencies and risks of the methods as well as significant results with their evaluation criteria are discussed. To allow the reader to assess the outcome, results are detailed and based on internationally recognized scoring systems. Orthopedics and Traumatology facilitates effective advancement and further education for all those active in both special and conservative fields of orthopedics, traumatology, and general surgery, offers sup-port for therapeutic decision-making, and provides – more than 30 years after its first publication – constantly expanding and up-to-date teaching on operative techniques.