Comparison of the efficacy of static versus articular spacers in two-stage revision surgery for the treatment of infection following total knee arthroplasty: a meta-analysis
Abstract Background The aim of this study was to compare the outcomes of static versus articular spacers in two-stage reimplantation for the treatment of infected total knee arthroplasty (TKA). Methods The literature regarding the articulating and static spacers for treating infected TKA were search...
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| Format: | Article |
| Language: | English |
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BMC
2017-10-01
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| Series: | Journal of Orthopaedic Surgery and Research |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13018-017-0644-6 |
| _version_ | 1828118097531240448 |
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| author | Hai Ding Jian Yao Wenju Chang Fendou Liu |
| author_facet | Hai Ding Jian Yao Wenju Chang Fendou Liu |
| author_sort | Hai Ding |
| collection | DOAJ |
| description | Abstract Background The aim of this study was to compare the outcomes of static versus articular spacers in two-stage reimplantation for the treatment of infected total knee arthroplasty (TKA). Methods The literature regarding the articulating and static spacers for treating infected TKA were searched in PubMed, Embase, Cochrane Library, Chinese Periodical Full-Text Database of CNKI, and Wanfang database. Data were extracted according to the inclusion and exclusion criteria and analyzed by Review Manager 5.3. Results Ten studies were included to this meta-analysis (nine retrospective studies, one prospective study) according to the principle of PICOS. There was no significant difference regarding the eradication rate (P = 0.28) and the American Knee Society knee score (KSS) pain score (P = 0.11) between the articulating and static spacers in the two-stage revision surgery. There was no significant difference regarding quadriceps femoroplasty and tibial tubercle osteotomy between the two groups (P = 0.50). The knee range of motion (ROM), Hospital for Special Surgery (HSS) score, and KSS function score in the articulating group were significantly higher than those in the static group (P < 0.00001). Conclusion Articulating spacers can provide better ROM and knee function scores after revision surgery when compared to static spacer while not compromising the infection eradication rate, soft tissue contracture during exclusion period, and knee pain scores. |
| first_indexed | 2024-04-11T13:25:49Z |
| format | Article |
| id | doaj.art-8ea09a7581e540f398c394492ee6755a |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-04-11T13:25:49Z |
| publishDate | 2017-10-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-8ea09a7581e540f398c394492ee6755a2022-12-22T04:22:04ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2017-10-011211910.1186/s13018-017-0644-6Comparison of the efficacy of static versus articular spacers in two-stage revision surgery for the treatment of infection following total knee arthroplasty: a meta-analysisHai Ding0Jian Yao1Wenju Chang2Fendou Liu3Department of Orthopedics, The First Affiliated Hospital of Bengbu Medical CollegeDepartment of Orthopedics, The First Affiliated Hospital of Bengbu Medical CollegeDepartment of Orthopedics, The First Affiliated Hospital of Bengbu Medical CollegeDepartment of Orthopedics, The First Affiliated Hospital of Bengbu Medical CollegeAbstract Background The aim of this study was to compare the outcomes of static versus articular spacers in two-stage reimplantation for the treatment of infected total knee arthroplasty (TKA). Methods The literature regarding the articulating and static spacers for treating infected TKA were searched in PubMed, Embase, Cochrane Library, Chinese Periodical Full-Text Database of CNKI, and Wanfang database. Data were extracted according to the inclusion and exclusion criteria and analyzed by Review Manager 5.3. Results Ten studies were included to this meta-analysis (nine retrospective studies, one prospective study) according to the principle of PICOS. There was no significant difference regarding the eradication rate (P = 0.28) and the American Knee Society knee score (KSS) pain score (P = 0.11) between the articulating and static spacers in the two-stage revision surgery. There was no significant difference regarding quadriceps femoroplasty and tibial tubercle osteotomy between the two groups (P = 0.50). The knee range of motion (ROM), Hospital for Special Surgery (HSS) score, and KSS function score in the articulating group were significantly higher than those in the static group (P < 0.00001). Conclusion Articulating spacers can provide better ROM and knee function scores after revision surgery when compared to static spacer while not compromising the infection eradication rate, soft tissue contracture during exclusion period, and knee pain scores.http://link.springer.com/article/10.1186/s13018-017-0644-6Total knee arthroplastyPeriprosthetic infectionTwo-stage revision arthroplastyAntibiotic bone cement spacerMeta-analysis |
| spellingShingle | Hai Ding Jian Yao Wenju Chang Fendou Liu Comparison of the efficacy of static versus articular spacers in two-stage revision surgery for the treatment of infection following total knee arthroplasty: a meta-analysis Journal of Orthopaedic Surgery and Research Total knee arthroplasty Periprosthetic infection Two-stage revision arthroplasty Antibiotic bone cement spacer Meta-analysis |
| title | Comparison of the efficacy of static versus articular spacers in two-stage revision surgery for the treatment of infection following total knee arthroplasty: a meta-analysis |
| title_full | Comparison of the efficacy of static versus articular spacers in two-stage revision surgery for the treatment of infection following total knee arthroplasty: a meta-analysis |
| title_fullStr | Comparison of the efficacy of static versus articular spacers in two-stage revision surgery for the treatment of infection following total knee arthroplasty: a meta-analysis |
| title_full_unstemmed | Comparison of the efficacy of static versus articular spacers in two-stage revision surgery for the treatment of infection following total knee arthroplasty: a meta-analysis |
| title_short | Comparison of the efficacy of static versus articular spacers in two-stage revision surgery for the treatment of infection following total knee arthroplasty: a meta-analysis |
| title_sort | comparison of the efficacy of static versus articular spacers in two stage revision surgery for the treatment of infection following total knee arthroplasty a meta analysis |
| topic | Total knee arthroplasty Periprosthetic infection Two-stage revision arthroplasty Antibiotic bone cement spacer Meta-analysis |
| url | http://link.springer.com/article/10.1186/s13018-017-0644-6 |
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