用于两阶段肩关节置换翻修的个体化贴合间隔器
Patient-specific articulating spacer for two-stage shoulder arthroplasty exchange.
机构信息
Department of Orthopedic Surgery, Koenig-Ludwig-Haus, University of Wuerzburg, Brettreichstraße 11, 97074, Wuerzburg, Germany.
Hospital for Special Surgery, 525 East 71st Street, 10021, New York, NY, USA.
出版信息
Oper Orthop Traumatol. 2023 Jun;35(3-4):135-145. doi: 10.1007/s00064-023-00801-1. Epub 2023 May 3.
OBJECTIVE
Two-stage exchange with an antibiotic-loaded polymethylmethacrylate (PMMA) spacer is standard treatment for chronic periprosthetic joint infection of the shoulder. We present a safe and simple technique for patient-specific spacer implants.
INDICATION
(Chronic) periprosthetic joint infection of the shoulder.
RELATIVE CONTRAINDICATIONS
Known allergy against components of PMMA bone cements. Inadequate compliance for two-stage exchange. Patient is unfit to undergo two-stage exchange.
SURGICAL TECHNIQUE
Hardware removal, histologic and microbiologic samples, and debridement. Preparation of targeted or calculated antibiotic-loaded PMMA. Tailoring of patient-specific spacer. Spacer implantation.
POSTOPERATIVE MANAGEMENT
Rehabilitation protocol. Antibiotic treatment. Reimplantation after successful eradication of infection.
目的
两阶段关节置换术联合抗生素负载型聚甲基丙烯酸甲酯（PMMA） spacer 是治疗慢性肩人工关节周围感染的标准方法。我们提出了一种安全且简单的个体化 spacer 植入技术。
适应证
（慢性）肩人工关节周围感染。
相对禁忌证
已知对 PMMA 骨水泥成分过敏。无法遵行两阶段置换术。不适合行两阶段置换术。
手术技术
移除硬件，获取组织学和微生物样本，清创。制备靶向或计算型抗生素负载型 PMMA。个体化定制 spacer。植入 spacer。
术后处理
康复方案。抗生素治疗。成功清除感染后再次植入。
Zotero 插件