ArticleOperative Orthopadie und Traumatologie2023
Patient-specific articulating spacer for two-stage shoulder arthroplasty exchange.
Article in Operative Orthopadie und Traumatologie, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
6 authors at 2 institutions in 2 countries.
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Abstract
objectiveTwo-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.
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