Experience of Mold Type Cement Spacer for Infected TKA

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  • モールドタイプのセメントスペーサーの使用経験

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An antibiotic-loaded articulating cement spacer was used in the 2-staged exchang of infected total knee arthroplasty. Handmade facsimile molds made of silicon were used to produce articulating femoral and tibial spacer components. A small cement stem should be designed and added to the spacer block to allow anchoring of the block to the tibia and prevent its migration. The antibiotic-loaded articulating cement spacer allows the patient certain functions such as motion and patient weight-bearing between stages, maintains the length of soft tissues, and reduces scarring within the periprosthetic tissues. The advantages of articulating spacers include continued mobility, ease of rehabilitation, and ease of reinplantation.

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