Antibiotic bone cement spacer after the infection in hip and knee replacement application.docVIP

 PAGE \* MERGEFORMAT 18 Antibiotic bone cement spacer after the infection in hip and knee replacement application [Keywords:] infection Total hip and total knee arthroplasty in the treatment of intractable chronic infection. Now that, Ⅱ stage revision surgery of bone cement spacer with antibiotics is the treatment of chronic infection after joint replacement standard methods. No use of antibiotics in bone cement spacer renovation phase Ⅱ soft tissue surgery may cause joint contracture, joint instability, affecting patients after activity. articular fibrosis and soft tissue balance around the loss, once again is quite difficult when the implants [1]. Therefore, antibiotic bone cement spacer in clinical and experimental research are attracting much attention, make a brief review on this article. An antibiotic bone cement spacer Classification Total hip and total knee revision surgery in stage Ⅱ antibiotic bone cement spacer is basically divided into two types: non-joint type (twist or static) and the joint type (activity type). Non-articulated spacer can maintain the local high concentration antibiotics, while preserving the joint space. but the cause or outreach quadriceps muscle contracture, scar tissue after impact activity and bone loss. articulated spacer allows a wider range of joint activities, improve joint function and reduce scar tissue formation, in favor of revision surgery exposed Ⅱ. Although the articulated joints and non-controversial interval between objects, but the shaping, matched well articulated spacer in the recovery of soft tissue tension, increase range of motion, the results significantly better than non-joint-type spacer. antibiotic bone cement spacer for the shape and function, remains controversial [2]. spacer can be a commodity product, you can make surgery can completely bone cement, or bone cement All antibiotic bone cement part of the coating or coated metal prosthesis [3]. 2 antibiotics in bone cement spacer of A