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. 2010 Nov 2;469(4):994–1001. doi: 10.1007/s11999-010-1644-6

Table 4.

Results of static and articulating antibiotic spacers

Type of spacer Study Number of knees Recurrent infection Followup Notes
Static Booth and Lotke [2] 25 1 25 months (6–59 months) Average flexion = 100
Emerson et al. [6] 26 2 7.5 years (2.8–12.7 years) ROM static = 94°, mobile = 108°
Fehring et al. [8] 25 3 36 months (24–72 months) Bone loss seen in static group
Flexion = 98° in static group and 105° in articulating
Wilde and Ruth [25] 15 2 2.9 years (1–6 years) Average ROM 6°–81°
Haleem et al. [11] 96 9 7.2 yrs (2.5–13 years) 34 knees required augments and 5 required allograft at replant.
Average ROM = 90°
Articulating spacers
 Cement-on-cement Durbhakula et al. [5] 24 2 33 months (28–51 months) Average knee flexion = 104°
Fehring et al. [8] 15 1 27 months (24–36 months) Bone loss seen in static group
Flexion = 98° in static group and 105° in articulating
Pitto et al. [23] 19 0 24 months (12–43 months) Average ROM 94°
 Cement-on-polyethylene Evans [7] 31 2 Minimum of 2 years Average ROM 2-111°
 Metal on polyethylene articulating spacers Cuckler [4] 44 1 Minimum of 1 year Average ROM 112°
Emerson et al. [6] 22 2 3.8 years (2.8–6.4 years) ROM static = 94°, mobile = 108°
Haddad et al. [10] 45 4 48 months (20–112 months) PROSTALAC, average ROM 3°–95°
Hofmann et al. [13] 26 0 31 months (12–70 months) Average ROM 5°–106°
Hofmann et al. [12] 50 6 73 months (24–150 months) Average ROM 4°–104°
Jämsen et al. [19] 22 2 32 months (2–86 months) Average ROM 104°
Meek et al. [22] 47 2 Average 41 months PROSTALAC, average ROM 87°