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Two-stage Reimplantation in Infected Total Knee Arthroplasty Using a Re-sterilized Tibial Polyethylene Insert and Femoral Component

Title
Two-stage Reimplantation in Infected Total Knee Arthroplasty Using a Re-sterilized Tibial Polyethylene Insert and Femoral Component
Author
이진규
Issue Date
2012-04
Publisher
CHURCHILL LIVINGSTONE INC MEDICAL PUBLISHERS, CURTIS CENTER, INDEPENDENCE SQUARE WEST, PHILADELPHIA, PA 19106-3399 USA
Citation
JOURNAL OF ARTHROPLASTY, 27, 9, 1701-1706
Abstract
Infection in total knee arthroplasty (TKA) is a challenging complication. We reviewed 20 cases of infected TKAs treated by two-stage reimplantation procedure involving the use of a temporary articulating system composed of autoclaved femoral component, low temperature hydrogen peroxide gas plasma sterilized polyethylene insert, and antibiotic-impregnated bone cement. The knee and functional score of the Knee Society scoring system at the last follow (average, 64.8 months) up was 86.2 points and 78.8 points. The success rate in terms of eradication of infection was 95% (19/20 knees). Use of a temporary articulating system composed of the re-sterilized components with antibiotic-impregnated bone cement was an effective therapy not only for the eradication of the infection but also for the recovery of soft tissue health and knee function. (C) 2012 Elsevier Inc. All rights reserved.
URI
http://www.arthroplastyjournal.org/article/S0883-5403(12)00169-6/abstracthttp://hdl.handle.net/20.500.11754/37927
ISSN
0883-5403
DOI
10.1016/j.arth.2012.03.013
Appears in Collections:
COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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