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Küntscher nails with static cement spacer: A simple technique in periprosthetic knee infections with massive bone loss and instability

The Knee Mar 19, 2021

Lo Presti M, Costa GG, Vasco C, et al. - This study was undertaken to present our experience with an alternative technique of reinforced cement spacer, usually necessary in these situations, focusing on its advantages and clinical results. Between January 2010 to September 2018, researchers retrospectively distinguished all patients who had undergone a two-stage revision for periprosthetic knee infection using two intramedullary Küntscher nails as reinforcement. They distinguished 12 individuals, mean age of 64.0 years (range 39–85). This technique was found to be an effective alternative to traditional spacers in cases of massive bone loss, producing a mechanically stable joint and preserving adequate tissue tensions. The construct is technically easy to conduct and, not less importantly, to remove during stage 2. Future trials, with larger groups, are needed to ascertain its validity.

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