Hand-made articulating spacers in two-stage revision for infected total knee arthroplasty: Good outcome in 30 patients

Abstract

One of the key factors related to a successful outcome with a two-stage reimplantation procedure is to keep the joint mobile and functional in the time between surgeries. Hand-made articulating spacers retain most of the advantages of more complex spacers in terms of mobility, pain, bone loss, success, or re-infection rate-with the major advantages of price and universal availability. Limitations related to this technique include potential knee instability, the need to walk with an orthosis, and the risk of subluxations.