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° |