Gusso M I, Capone A, Civinini R, Scoccianti G
I Clinica Ortopedica, Università, Cagliari.
Chir Organi Mov. 1995 Jan-Mar;80(1):21-7.
Five cases of septic loosening of total knee arthroplasty were treated by two-stage revision using a cement mixed with antibiotic. The spacer block was responsible for greater mechanical stability of the joint in the interval between the two stages of the operation, and the association of the antibiotic favored resolution of septic complications, allowing at the same time for systemic antibiotic treatment at doses lower than usual. In all of the cases treated reimplantation was performed in conditions of apparent sterility. The minimum amount of time between the first operation and reimplantation was 3 months, maximum was 5 months. Four to 18 months after reimplantation there was no recurrence of infection. Despite the short follow-up, the technique used appears to constitute a valid solution for septic complications in total knee arthroplasty.
5例全膝关节置换术后感染性松动患者采用含抗生素骨水泥进行两阶段翻修治疗。间隔物在手术两阶段之间维持了关节的机械稳定性，抗生素的使用有助于感染并发症的解决，同时允许采用低于常规剂量的全身性抗生素治疗。所有接受治疗的病例均在明显无菌的条件下进行再植入。首次手术与再植入之间的最短时间为3个月，最长为5个月。再植入后4至18个月无感染复发。尽管随访时间短，但所采用的技术似乎是全膝关节置换术后感染并发症的有效解决方案。
