Williams Kanishka E, MacLean Simon, Jupiter Jesse, Bain Gregory I
*Flinders Medical Centre, Bedford Park ‡Flinders University, Adelaide, SA, Australia †Department Of Orthopaedic Surgery, Harvards Medical School, Massachusetts General Hospital, Boston, MA.
Tech Hand Up Extrem Surg. 2017 Jun;21(2):41-47. doi: 10.1097/BTH.0000000000000149.
Management of an infected total elbow replacement is a significant clinical challenge. Although preservation of the prosthesis is ideal, a 2-stage revision is often necessary. Unlike lower limb arthroplasty, antibiotic spacers are not commercially available. Monoblock cement spacers do not allow elbow movements and are therefore associated with severe stiffness and scarring, leading to poor clinical outcomes. In our paper we present a simple and novel technique for constructing an articulating antibiotic-impregnated spacer for use as an implant for a 1-stage revision of an infected elbow arthroplasty.
感染性全肘关节置换的处理是一项重大的临床挑战。虽然保留假体是理想的，但通常需要进行两阶段翻修。与下肢关节成形术不同，抗生素间隔物没有商业产品。一体式骨水泥间隔物不允许肘关节活动，因此会导致严重的僵硬和瘢痕形成，从而导致临床效果不佳。在我们的论文中，我们提出了一种简单而新颖的技术，用于构建一种可活动的、含抗生素的间隔物，作为感染性肘关节置换一期翻修的植入物。
