RESEARCH ARTICLE


Use of Cemented Spacer with a Handmade Stem to Treat Acute Periprosthetic Tibial Fracture Infection: A Case Report



LluÍs Font-Vizcarra*, 1, Oscar Izquierdo1, Laura GarcÍa-NuÑo1, Araceli GonzÁlez2, VicenÇ Diaz-Brito3, Juan Castellanos1
1 Department of Orthopaedics and Trauma Surgery of Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Barcelona, Spain
2 Department of Microbiology of Parc Sanitari Sant Joan Déu, Sant Boi de Llobregat, Barcelona, Spain
3 Department of Infectious Diseases of Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Barcelona, Spain


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© Font-Vizcarra et al.; Licensee Bentham Open.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.5/) which permits unrestrictive use, distribution, and reproduction in any medium, provided the original work is properly cited.

* Address correspondence to this author at the Department of Orthopedics of Parc Sanitari Sant Joan de Déu, C/ CamÍ vell de la colònia nº25., Sant Boi de Llobregat, Barcelona 08830, Spain; Tel: 00+34+936615208; E-mails: drfont@comb.catlluis.font@pssjd.org


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.

Keywords: : Acute prosthetic infection, cement spacer, periprosthetic fracture..