title: An Articulating Antibiotic Cement Spacer for First-stage Reconstruction for Infected Total Elbow Arthroplasty.
abstract: Management of an infected total elbow replacement is a significant clinical challenge. Although preservation of the prosthesis is ideal, a 2-stage revision is often necessary. Unlike lower limb arthroplasty, antibiotic spacers are not commercially available. Monoblock cement spacers do not allow elbow movements and are therefore associated with severe stiffness and scarring, leading to poor clinical outcomes. In our paper we present a simple and novel technique for constructing an articulating antibiotic-impregnated spacer for use as an implant for a 1-stage revision of an infected elbow arthroplasty.
authors.affiliation: *Flinders Medical Centre, Bedford Park ‡Flinders University, Adelaide, SA, Australia †Department Of Orthopaedic Surgery, Harvards Medical School, Massachusetts General Hospital, Boston, MA.
authors.forename: Kanishka E
authors.initials: KE
authors.lastname: Williams
authors.forename: Simon
authors.initials: S
authors.lastname: MacLean
authors.forename: Jesse
authors.initials: J
authors.lastname: Jupiter
authors.forename: Gregory I
authors.initials: GI
authors.lastname: Bain
mesh_terms: D000900:Anti-Bacterial Agents / Q000494:pharmacology*; D057929:Arthroplasty, Replacement, Elbow / Q000009:adverse effects* / Q000379:methods; D001843:Bone Cements; D003131:Combined Modality Therapy; D003646:Debridement / Q000379:methods; D058569:Elbow Prosthesis / Q000009:adverse effects; D005500:Follow-Up Studies; D006801:Humans; D010027:Osteotomy / Q000379:methods; D010147:Pain Measurement; D016459:Prosthesis-Related Infections / Q000175:diagnosis / Q000601:surgery*; D016059:Range of Motion, Articular / Q000502:physiology; D019651:Plastic Surgery Procedures / Q000379:methods*; D012086:Reoperation / Q000295:instrumentation* / Q000379:methods; D018570:Risk Assessment; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents; D001843:Bone Cements