The First Stage of Knee Revision Arthroplasty in Periprosthetic Infection with Replacement of a Large Defect Double Cementing Method: A Case Report

Aim: Large bone defects in patients with chronic deep periprosthetic knee infection is a major problem. It is widely accepted that bone defects filling with polymethylmethacrylate (PMMA) cement could be used only in selected cases of small bone defects (up to 5 mm) and less than 50% of articular sur...

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Bibliographic Details
Published in:International medical case reports journal 2023-09, Vol.16, p.513-520
Main Authors: Balgazarov, Serik, Belokobylov, Alexey, Batpen, Arman, Ramazanov, Zhanatai, Dolgov, Alexey, Rimashevskiy, Denis, Kriklivyy, Alexandr
Format: Article
Language:English
Subjects:
bone cement
Case Report
Health aspects
Infection
knee joint
Methicillin
Methods
Orthopedic surgery
periprosthetic joint infection
Polymethylmethacrylate
tibial defect
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Summary:Aim: Large bone defects in patients with chronic deep periprosthetic knee infection is a major problem. It is widely accepted that bone defects filling with polymethylmethacrylate (PMMA) cement could be used only in selected cases of small bone defects (up to 5 mm) and less than 50% of articular surface due to multiple reasons: risk of thermal bone damage, inadequate cement pressurization and bone cement shrinkage, etc. Staged cementing for preventing bone heating and over negative effects of cementing on a thick layer of bone cement has limited support in the literature. Case Presentation: We present the case of 4.5 years follow up after temporary- permanent spacer implantation in a 63- year-old male with chronic deep knee PJI and tibial AORI type 3 bone defect reconstructed via double cementing method. Results: Method of double (staged) cementing used for reconstruction of epiphyseal tibial bone defect in a patient with fistula form of knee PJI shows excellent clinical results at 4.5 years follow up. Keywords: bone cement, knee joint, periprosthetic joint infection, tibial defect
ISSN:1179-142X
1179-142X
DOI:10.2147/IMCRJ.S420109