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Use of cemented spacer with a handmade stem to treat acute periprosthetic tibial fracture infection: a case report.

The open orthopaedics journal, ISSN: 1874-3250, Vol: 8, Issue: 1, Page: 24-6
2014
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Article Description

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.

Bibliographic Details

Font-Vizcarra, Lluís; Izquierdo, Oscar; García-Nuño, Laura; González, Araceli; Diaz-Brito, Vicenç; Castellanos, Juan

Bentham Science Publishers Ltd.

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