ESPAÇADOR ESTÁTICO REFORÇADO PARA INFECÇÃO ARTICULAR PERIPROTÉTICA DO JOELHO:
técnica cirúrgica e revisão da literatura
DOI:
https://doi.org/10.5752/P.2594-5467.2024v8n17p667-679Palavras-chave:
Joelho, Artroplastia, Infecção Articular, Espaçados EstáticoResumo
Os espaçadores de cimento para tratar infecção articular periprotética do joelho são classificados como estáticos ou móveis e são usados em procedimentos de duas etapas. Um espaçador estático de joelho tem sido usado para fornecer altas doses de antibióticos localmente, minimizar contraturas dos ligamentos colaterais e preservar o espaço articular para uma futura reimplantação da prótese. Este artigo apresenta uma técnica simples para fazer um espaçador estático que pode ser usado em procedimentos de duas etapas para infecção articular periprotética do joelho com perda óssea maciça. Espaçadores de cimento grandes são instáveis e podem quebrar ou deslocar-se. O espaçador estático reforçado com metal é uma ferramenta simples, eficiente e econômica para preservação de tecidos, a ser usada quando cirurgiões enfrentam grandes defeitos nesta complicação.
Downloads
Referências
2. Petretta R, Phillips J, Toms A. Management of acute periprosthetic joint infection of the knee - Algorithms for the on call surgeon. Surgeon, 2016
3. Iorio R, Osmani FA. Strategies to Prevent Periprosthetic Joint Infection After Total Knee Arthroplasty and Lessen the Risk of Readmission for the Patient. The Journal of the American Academy of Orthopaedic Surgeons 25 Suppl 1: S13, 2017
4. Carvalho Júnior LH, Temponi EF, Badet R. Infection after total knee replacement: diagnosis and treatment. Revista Brasileira de Ortopedia (English Edition) 48(5): 389, 2013
5. Kini SG, Gabr A, Das R, Sukeik M, Haddad FS. Two-stage Revision for Periprosthetic Hip and Knee Joint Infections. The open orthopaedics journal 10: 579, 2016
6. Thabe H, Schill S. Two-stage reimplantation with an application spacer and combined with delivery of antibiotics in the management of prosthetic joint infection. Operative Orthopadie und Traumatologie 19(1): 78, 2007
7. Hsu CS, Hsu CC, Wang JW, Lin PC. Two-stage revision of infected total knee arthroplasty using an antibiotic-impregnated static cement-spacer. Chang Gung Med J 31(6): 583, 2008
8. Osei DA, Rebehn KA, Boyer MI. Soft-tissue Defects After Total Knee Arthroplasty: Management and Reconstruction. The Journal of the American Academy of Orthopaedic Surgeons 24(11): 769, 2016
9. Faschingbauer M, Bieger R, Reichel H, Weiner C, Kappe T. Complications associated with 133 static, antibiotic-laden spacers after TKA. Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA 24(10): 3096, 2016
10. Kotwal SY, Farid YR, Patil SS, Alden KJ, Finn HA. Intramedullary rod and cement static spacer construct in chronically infected total knee arthroplasty. The Journal of arthroplasty 27(2): 253, 2012
11. Shen H, Zhang X, Jiang Y, Wang Q, Chen Y, Wang Q, Shao J. Intraoperatively-made cement-on-cement antibiotic-loaded articulating spacer for infected total knee arthroplasty. Knee 17(6): 407, 2010
12. Citak M, Citak M, Kendoff D. [Dynamic versus static cement spacer in periprosthetic knee infection: A meta-analysis]. Der Orthopade 44(8): 599, 2015
13. Jamsen E, Sheng P, Halonen P, Lehto MU, Moilanen T, Pajamaki J, Puolakka T, Konttinen YT. Spacer prostheses in two-stage revision of infected knee arthroplasty. International orthopaedics 30(4): 257, 2006
14. Carvalho Junior LH, Temponi EF, Paganini VO, Costa LP, Soares LF, Goncalves MB. Reducing the length of hospital stay after total knee arthroplasty: influence of femoral and sciatic nerve block. Rev Assoc Med Bras (1992) 61(1): 40, 2015
15. Silvestre A, Almeida F, Renovell P, Morante E, Lopez R. Revision of infected total knee arthroplasty: two-stage reimplantation using an antibiotic-impregnated static spacer. Clinics in orthopedic surgery 5(3): 180, 2013
16. Antoci V, Phillips MJ, Antoci V, Jr., Krackow KA. Using an antibiotic-impregnated cement rod-spacer in the treatment of infected total knee arthroplasty. American journal of orthopedics 38(1): 31, 2009
17. Hofmann AA, Goldberg T, Tanner AM, Kurtin SM. Treatment of infected total knee arthroplasty using an articulating spacer: 2- to 12-year experience. Clinical orthopaedics and related research (430): 125, 2005
18. Park SJ, Song EK, Seon JK, Yoon TR, Park GH. Comparison of static and mobile antibiotic-impregnated cement spacers for the treatment of infected total knee arthroplasty. International orthopaedics 34(8): 1181, 2010
19. Fehring TK, Odum S, Calton TF, Mason JB. Articulating versus static spacers in revision total knee arthroplasty for sepsis. The Ranawat Award. Clinical orthopaedics and related research (380): 9, 2000
20. Chiang ER, Su YP, Chen TH, Chiu FY, Chen WM. Comparison of articulating and static spacers regarding infection with resistant organisms in total knee arthroplasty. Acta orthopaedica 82(4): 460, 2011
21. Emerson RH, Jr., Muncie M, Tarbox TR, Higgins LL. Comparison of a static with a mobile spacer in total knee infection. Clinical orthopaedics and related research (404): 132, 2002
22. Freeman MG, Fehring TK, Odum SM, Fehring K, Griffin WL, Mason JB. Functional advantage of articulating versus static spacers in 2-stage revision for total knee arthroplasty infection. The Journal of arthroplasty 22(8): 1116, 2007
23. Haleem AA, Berry DJ, Hanssen AD. Mid-term to long-term followup of two-stage reimplantation for infected total knee arthroplasty. Clinical orthopaedics and related research (428): 35, 2004
24. Hoad-Reddick DA, Evans CR, Norman P, Stockley I. Is there a role for extended antibiotic therapy in a two-stage revision of the infected knee arthroplasty? The Journal of bone and joint surgery British volume 87(2): 171, 2005
25. Jaekel DJ, Day JS, Klein GR, Levine H, Parvizi J, Kurtz SM. Do dynamic cement-on-cement knee spacers provide better function and activity during two-stage exchange? Clinical orthopaedics and related research 470(9): 2599, 2012
26. Johnson AJ, Sayeed SA, Naziri Q, Khanuja HS, Mont MA. Minimizing dynamic knee spacer complications in infected revision arthroplasty. Clinical orthopaedics and related research 470(1): 220, 2012
Downloads
Publicado
Como Citar
Edição
Seção
Licença
Copyright (c) 2024 Conecte-se! Revista Interdisciplinar de Extensão
Este trabalho está licenciado sob uma licença Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
O(s) (co)autor(es) responsabiliza(m)-se pelo ineditismo do texto submetido (sanções possíveis por plágio são de sua inteira responsabilidade) e atribuem a Conecte-se! Revista Interdisciplinar de Extensão a autorização para a publicação deste. O(s) (co)autor(es) assume(m) que este texto não se encontra publicado em nenhum outro veículo, bem como não se encontra em análise, para publicação, em outro periódico.
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
