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Title: Functional advantage of articulating versus static spacers in 2-stage revision for total knee arthroplasty infection. Author: Freeman MG, Fehring TK, Odum SM, Fehring K, Griffin WL, Mason JB. Journal: J Arthroplasty; 2007 Dec; 22(8):1116-21. PubMed ID: 18078879. Abstract: Infection is an unfortunate complication of total knee arthroplasty. Current literature supports 2-stage reimplantation as the gold standard. Controversy exists whether static or articulating spacers are the best interim treatment method. Seventy-six 2-stage reimplantation procedures met the study inclusion criteria. There were 28 static spacers and 48 articulating spacers. The eradication rate was 94.7% in the articulating group compared with 92.1% in the static group (P = 0.7). There were no significant differences in postoperative Knee Society Scores pain scores. There were 28 (58%) good to excellent function scores in the articulating group and 10 (36%) in the static group (P = .05). Interim use of an articulating spacer maintains excellent infection eradication rates and may improve function over the use of static spacers.[Abstract] [Full Text] [Related] [New Search]