O uso de espaçadores com antibiótico no tratamento das infecções em endopróteses de joelho

• Autor(a) principal: Viola, Dan Carai Maia [UNIFESP]
• Data de Publicação: 2009
• Outros Autores: Cardozo Filho, Nivaldo Souza [UNIFESP], Nunes, Rodrigo Tristão [UNIFESP], Godoy, Fabíola Andrea Carvalho [UNIFESP], Petrilli, Marcelo de Toledo [UNIFESP], Korukian, Marcos [UNIFESP], Garcia Filho, Reynaldo Jesus [UNIFESP]
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Institucional da UNIFESP
• Texto Completo: http://dx.doi.org/10.1590/S1413-78522009000300003; http://repositorio.unifesp.br/handle/11600/4860
• topic: Prosthesis; Neoplasms; Infection; Bone cements; Osteosarcoma; Prótese; Neoplasias; Infecção; Cimentos para ossos; Osteossarcoma

OBJCTIVE: The aim of this study is to evaluate the use of cement spacers impregnated with antibiotics for the treatment of infections in the nonconventional endoprostheses of the knee. METHODOLOGY: We have treated seven patients since 2004 (of which six were submitted to surgery in our service and one patient had been submitted to a primary tumor surgery in another removal service) with deep infection in knee tumor prosthesis. All patients were submitted to endoprosthesis removal and reconstructed with antibiotic cement spacer. All patients were monitored both clinically and by lab tests as for monitoring the evolution, being considered able for reviews after 6 (six) months without infections signs. RESULTS: We have noted a small predominance of infectious processes on the prosthesis inserted on proximal tibia as compared with distal femur (57.1% x 42.9%). The mean follow-up time of patients was 68.2 months. During the follow up, one patient died as a result of the root disease. Six patients out of seven were regarded as cured and one persisted with infection signs and symptoms. CONCLUSION: The results obtained up to date have motivated us to continue using this method of treatment.