✅ Knee MRI Mastery/Chap 5CD. Cartilage Repair and TKA

(Fig 5-D.18) Antibiotic-Loaded Cement CAD-Articulating Spacer

MSK MRI 2024. 7. 21. 09:00

https://youtu.be/sa7uHO8tmyY

 

https://youtu.be/POoP1plqOoI

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📌 Management of Infected Arthroplasty

✅ Two-Stage Revision

  • Standard approach for infected arthroplasty
  • Contrasts with single-stage revision used for other complications

 

1️⃣ Step 1: Removal

  • Remove implant and cement

 

2️⃣ Step 2: Spacer Insertion

  • Insert articulating cement antibiotic spacer
  • antibiotic-loaded cement computer-aided design-articulating spacer for the treatment of periprosthetic knee infection

 

3️⃣ Step 3: Antibiotic Treatment

  • Administer 6 weeks of IV antibiotics

 

4️⃣ Step 4: Reimplantation

  • Perform delayed reimplantation

 

References:

  1. Semin Musculoskelet Radiol 2019;23:e20–e35.
  2. AJR 2014; 202:W76–W86

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 #InfectedArthroplasty, #TwoStageRevision, #TKA, #AntibioticSpacer, #IVAntibiotics, #DelayedReimplantation, #OrthopedicSurgery, #JointInfection, #ArthroplastyComplications, #OrthopedicImaging