title: Use of cemented spacer with a handmade stem to treat acute periprosthetic tibial fracture infection: a case report.
abstract: We report an 85-year-old woman with dementia and dependent for normal life activities who was admitted due to a left periprosthetic tibial fracture. The tibial component was replaced by one with a long stem and she was discharged. Four weeks after the intervention the patient was re-admitted due to an acute prosthetic joint infection. All the components were removed and a bone-cement spacer with a handmade stem with a metal core was implanted. Radiological signs of fracture consolidation were observed after 3 months of follow-up. Due to the previous health status of the patient, it was decided to keep the spacer as a definitive treatment. After 24 months, the patient was able to sit without pain and to stand up with help using a knee brace. There were no radiological or clinical signs of infection.
authors.affiliation: Department of Orthopaedics and Trauma Surgery of Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Barcelona, Spain.
authors.forename: Lluís
authors.initials: L
authors.lastname: Font-Vizcarra
authors.affiliation: Department of Orthopaedics and Trauma Surgery of Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Barcelona, Spain.
authors.forename: Oscar
authors.initials: O
authors.lastname: Izquierdo
authors.affiliation: Department of Orthopaedics and Trauma Surgery of Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Barcelona, Spain.
authors.forename: Laura
authors.initials: L
authors.lastname: García-Nuño
authors.affiliation: Department of Microbiology of Parc Sanitari Sant Joan Déu, Sant Boi de Llobregat, Barcelona, Spain.
authors.forename: Araceli
authors.initials: A
authors.lastname: González
authors.affiliation: Department of Infectious Diseases of Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Barcelona, Spain.
authors.forename: Vicenç
authors.initials: V
authors.lastname: Diaz-Brito
authors.affiliation: Department of Orthopaedics and Trauma Surgery of Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Barcelona, Spain.
authors.forename: Juan
authors.initials: J
authors.lastname: Castellanos
keywords: Acute prosthetic infection; cement spacer; periprosthetic fracture.