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Articulating spacers: what are available and how to utilize them?
Periprosthetic joint infection (PJI) is the most devastating complication following total joint arthroplasty (TJA) and is posing a global healthcare challenge as the demand for TJA mounts. Two-stage exchange arthroplasty with the placement of antibiotic-loaded spacers has been shown to be efficaciou...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10084623/ https://www.ncbi.nlm.nih.gov/pubmed/37032343 http://dx.doi.org/10.1186/s42836-023-00167-6 |
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author | Li, Zhuo Xu, Chi Chen, Jiying |
author_facet | Li, Zhuo Xu, Chi Chen, Jiying |
author_sort | Li, Zhuo |
collection | PubMed |
description | Periprosthetic joint infection (PJI) is the most devastating complication following total joint arthroplasty (TJA) and is posing a global healthcare challenge as the demand for TJA mounts. Two-stage exchange arthroplasty with the placement of antibiotic-loaded spacers has been shown to be efficacious against chronic PJI. This study aimed to review the key concepts, types, and outcome evaluations of articulating spacers in the two-stage exchange for PJI. Previous studies indicated that articulating spacers have been widely used due to better functional improvement and a comparable infection control rate relative to static spacers. Several types of articulating spacers are reportedly available, including hand-made spacers, spacers fashioned from molds, commercially preformed spacers, spacers with additional metal or polyethylene elements, new or autoclaved prosthesis, custom-made articulating spacers, and 3D printing-assisted spacers. However, limited evidence suggested no significant difference in clinical outcomes among the different subtypes of articulating spacers. Surgeons should be familiar with different treatment strategies when using various spacers to know which is the most appropriate. |
format | Online Article Text |
id | pubmed-10084623 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-100846232023-04-11 Articulating spacers: what are available and how to utilize them? Li, Zhuo Xu, Chi Chen, Jiying Arthroplasty Review Periprosthetic joint infection (PJI) is the most devastating complication following total joint arthroplasty (TJA) and is posing a global healthcare challenge as the demand for TJA mounts. Two-stage exchange arthroplasty with the placement of antibiotic-loaded spacers has been shown to be efficacious against chronic PJI. This study aimed to review the key concepts, types, and outcome evaluations of articulating spacers in the two-stage exchange for PJI. Previous studies indicated that articulating spacers have been widely used due to better functional improvement and a comparable infection control rate relative to static spacers. Several types of articulating spacers are reportedly available, including hand-made spacers, spacers fashioned from molds, commercially preformed spacers, spacers with additional metal or polyethylene elements, new or autoclaved prosthesis, custom-made articulating spacers, and 3D printing-assisted spacers. However, limited evidence suggested no significant difference in clinical outcomes among the different subtypes of articulating spacers. Surgeons should be familiar with different treatment strategies when using various spacers to know which is the most appropriate. BioMed Central 2023-04-10 /pmc/articles/PMC10084623/ /pubmed/37032343 http://dx.doi.org/10.1186/s42836-023-00167-6 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Review Li, Zhuo Xu, Chi Chen, Jiying Articulating spacers: what are available and how to utilize them? |
title | Articulating spacers: what are available and how to utilize them? |
title_full | Articulating spacers: what are available and how to utilize them? |
title_fullStr | Articulating spacers: what are available and how to utilize them? |
title_full_unstemmed | Articulating spacers: what are available and how to utilize them? |
title_short | Articulating spacers: what are available and how to utilize them? |
title_sort | articulating spacers: what are available and how to utilize them? |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10084623/ https://www.ncbi.nlm.nih.gov/pubmed/37032343 http://dx.doi.org/10.1186/s42836-023-00167-6 |
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