TOTBİD Dergisi

TOTBİD Dergisi

2016, Cilt 15, Sayı, 2     (Sayfalar: 115-119)

Antibiotic loaded cement and spacer applications

Fatih Küçükdurmaz 1, İbrahim Tuncay 1

1 Bezmialem Vakıf Üniveristesi Tıp Fakültesi Ortopedi ve Travmatoloji Anabilim Dalı, İstanbul

DOI: 10.14292/totbid.dergisi.2016.15
Görüntüleme: 708
İndirme : 1738

Two-stage surgery is considered as the gold standard treatment in chronic periprosthetic joint infections. Following the removal of the infected implant during the first phase, spacers are used which release local antibiotics in addition to systemic antibiotics. Spacers are useful in treatment of infection by releasing antibiotics as well as keeping the tension of the soft tissues until the second stage. There are many different applications of spacers. The prefabricated or the hand made ones, prepared during the surgery; cement mixed with antibiotics and selection of antibiotics; dynamic or static ones are different options. In this paper, various applications of spacers and antibiotic loaded cements are reviewed.

Anahtar Kelimeler : periprosthetic joint infections; spacer; antibiotics