Short Adam, Penrose Colin, Adams Samuel
Orthopaedic Surgery Fellow, Duke University Medical Center, Durham, NC.
Orthopaedic Surgery Resident, Duke University Medical Center, Durham, NC.
J Foot Ankle Surg. 2020 Jan-Feb;59(1):216-219. doi: 10.1053/j.jfas.2019.07.021. Epub 2019 Nov 20.
Total ankle arthroplasty has been increasing as a treatment for end-stage ankle arthritis. With this increase, the incidence of total ankle prosthetic infections will also increase. Treatment of these infections depends on the duration of symptoms and whether the infection is acute or chronic in presentation. The treatment of choice for chronic infections is a 2-stage procedure, the removal of implants and placement of a static cement spacer. We describe a technique for creating an articulating antibiotic cement spacer through an anterior approach in a patient with an infected total ankle arthroplasty. The articulating antibiotic cement spacer allows high doses of local antibiotics, decreases soft tissue contractures, and allows continued motion of the joint.
全踝关节置换术作为终末期踝关节关节炎的一种治疗方法，其应用一直在增加。随着这种增加，全踝关节假体感染的发生率也会上升。这些感染的治疗取决于症状持续时间以及感染在表现上是急性还是慢性。慢性感染的首选治疗方法是两阶段手术，即取出植入物并放置静态骨水泥间隔物。我们描述了一种通过前路为一名感染性全踝关节置换术患者制作可活动抗生素骨水泥间隔物的技术。可活动抗生素骨水泥间隔物能提供高剂量局部抗生素，减少软组织挛缩，并允许关节持续活动。
