Use of a New Knee Prosthesis as an Articulating Spacer in Two-Stage Revision of Infected Total Knee Arthroplasty.
OBJECTIVE
To report our experience with two-stage revision using a new femoral component (NFC) spacer (Depuy Synthes) as an articulating spacer.


METHODS
In this retrospective study, we reviewed 22 two-stage revisions that were performed using an NFC spacer in 22 patients suspected of having an infected total knee arthroplasty (TKA) from December 2010 to March 2013. The result was considered successful when eradication of infection was achieved using only one NFC spacer.


RESULTS
The average time from primary TKA to the first stage procedure was 29.1 months and the average time from the first stage procedure until the final second stage procedure was 12.7 weeks. The average range of motion increased from 82° preoperatively to 104° postoperatively. The American Knee Society Knee score increased from 29.3 points to 66 points. The Function score increased from 29.5 points to 64 points. Four cases were reinfected after two-stage revision. The mean follow-up was 37.6 months.


CONCLUSIONS
The new articulating spacer showed promising short-term results both with regard to eradication of infection and functional improvement.
Department of Orthopaedic Surgery, Zealand University Hospital, Koge, Denmark.
Rasmus
R
Juul
Department of Orthopaedic Surgery, Zealand University Hospital, Koge, Denmark.
Jesper
J
Fabrin
Department of Orthopaedic Surgery, Zealand University Hospital, Koge, Denmark.
Klaus
K
Poulsen
Department of Orthopaedic Surgery, Naestved Hospital, Naestved, Denmark.
Henrik Morville
HM
Schroder
Arthroplasty; Articulating spacer; Infection; Knee; New prosthesis; Revision; Two-stage