Ha Chul-Won
Department of Orthopedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, KangNam Gu, IlWon Dong, Seoul, Korea.
Clin Orthop Relat Res. 2006 Apr;445:204-9. doi: 10.1097/01.blo.0000201161.52196.c5.
A technique for intraoperatively creating an antibiotic spacer for two-stage treatment of infected total knee replacements is described. An intraoperative mold is made from the removed components and used to create antibiotic spacers with surface contours similar to those of the original total knee replacement. The spacers restore leg length and knee stability. This allows limited function during the interval before reimplantation of the new total knee replacement. It is a cost-effective and convenient technique for creating a suitably shaped and sized cement spacer for two-stage revision total knee replacement after infection. The clinical results of 12 consecutive patients using this technique with minimum of 2 years followup seem to be at least equal or better than results reported in previous studies.
Prognostic study, Level II (retrospective study).
描述了一种术中为感染性全膝关节置换的两阶段治疗创建抗生素间隔物的技术。术中模具由移除的部件制成，用于创建表面轮廓与原始全膝关节置换相似的抗生素间隔物。这些间隔物可恢复肢体长度和膝关节稳定性。这使得在重新植入新的全膝关节置换之前的间隔期内功能受限。这是一种经济高效且方便的技术，用于为感染后两阶段翻修全膝关节置换创建形状和尺寸合适的骨水泥间隔物。连续12例使用该技术且随访至少2年的患者的临床结果似乎至少与先前研究报告的结果相当或更好。
预后研究，II级（回顾性研究）。
