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Arthroplasty 2019
June 24-25, 2019
Volume 14
Journal of Orthopaedics Trauma Surgery and Related Research
Arthroplasty
June 24-25, 2019 | Rome, Italy
12
th
International Conference on
Use of intraoperatively made antibiotic eluting hinged PMMA spacer in a two-stage
procedure for management of joint space infections - An efficient and a cost-effective
solution
Prarthan C Amin
Sardar Vallabhbhai Patel Institute of Medical Sciences & Research, India
C
ontrol of joint space infections still remains a huge problem in modern-day Orthopedics, with estimated incidence of
2-10 cases per 100,000. The incidence appears to be increasing, due to aging population, use of immunosuppressive
therapies, increase in periprosthetic joint space infections and resistance to antibiotics. Apart from causing a lot of
morbidity, it creates a lot of psychosocial and economic burden on the patient
The use of an antibiotic cemented spacer in the first stage of a two-stage revision procedure has been described in
many different articles. In recent years, there has been a development of commercially available partial weight-bearing
prosthesis which acts as an antibiotic eluting spacer in the first stage, however, these implants are costly, and are usually
out of reach of the general population in developing countries.
Here in our series, we present a novel technique where we utilize components of an Ilizarov set to create hinged spacers
intraoperatively for control of infection in septic arthritis.
Over a period of 21months, we performed this procedure on 6 patients, with amean age of 62.1 years.The spacerwas retained
in-vivoforameanon(2.23months),followedbyatotaljointreplacementinthesecondstage.Oncompletionofthetwostaged
procedure,therewasasignificantimprovementinVASscoringfromaninitial(7.2)to(2.4)finalstage.. Theaveragecostofthe
entire two stage procedure regime was significantly cheap as compared to commercially available antibiotic eluting spacers.
We saw from this study that an intraoperatively created hinged spacer is a novel and a cost-effective technique which
gives comparable results to commercially available readymade spacers.
Biography
Prarthan C Amin who is currently completing his final year of residency in Orthopedics in a tertiary care hospital in India. He has
always believed that the key to best patient care is through innovation, integration and quality control. At the age of 25 being one of the
youngest final year residents, he has been involved in various research projects alongside daily academic and technical interactions.
Working in an institute where there is an inflow of at least 300-400 underprivileged orthopedic patients daily, he strongly believes that
revolution begins at a grassroot level. In the future, he aims to work on chronic orthopedic problems like osteomyelitis and septic
arthritis, which not only remains a huge problem in modern day Orthopedics but a big psychosocial and economic burden. His future
goal is to expertise in revision joint arthroplasty.
petzamin@gmail.comPrarthan C Amin, J.Orthop.Trauma Surg.Relat.Res. | Volume 14
ISSN:2449-9145