The First Stage of Knee Revision Arthroplasty in Periprosthetic Infection with Replacement of a Large Defect Double Cementing Method: A Case Report
Balgazarov S. Belokobylov A. Batpen A. Ramazanov Z. Dolgov A. Rimashevskiy D. Kriklivyy A.
2023Dove Medical Press Ltd
International Medical Case Reports Journal
2023#16513 - 520 pp.
Aim: Large bone defects in patients with chronic deep periprosthetic knee infection is a major problem. It is widely accepted that bone defects filling with polymethylmethacrylate (PMMA) cement could be used only in selected cases of small bone defects (up to 5 mm) and less than 50% of articular surface due to multiple reasons: risk of thermal bone damage, inadequate cement pressurization and bone cement shrinkage, etc. Staged cementing for preventing bone heating and over negative effects of cementing on a thick layer of bone cement has limited support in the literature. Case Presentation: We present the case of 4.5 years follow up after temporary-permanent spacer implantation in a 63-year-old male with chronic deep knee PJI and tibial AORI type 3 bone defect reconstructed via double cementing method. Results: Method of double (staged) cementing used for reconstruction of epiphyseal tibial bone defect in a patient with fistula form of knee PJI shows excellent clinical results at 4.5 years follow up.
bone cement , knee joint , periprosthetic joint infection , tibial defect
Text of the article Перейти на текст статьи
Department of Trauma Consequences and Combustiology, National Scientific Center of Traumatology and Orthopedics Named after Academician N.D. Batpenov, Astana, Kazakhstan
Republican Center for Endoprosthetics, National Scientific Center of Traumatology and Orthopedics Named after Academician N.D. Batpenov, Astana, Kazakhstan
National Scientific Center of Traumatology and Orthopedics Named after Academician N.D. Batpenov, Astana, Kazakhstan
Postgraduate Education Department, National Scientific Center of Traumatology and Orthopedics Named after Academician N.D. Batpenov, Astana, Kazakhstan
Peoples Friendship University of Russia, Trauma and Orthopedic Department, Moscow, Russian Federation
Institute of Life Sciences, Karaganda Medical University, Karaganda, Kazakhstan
Department of Trauma Consequences and Combustiology
Republican Center for Endoprosthetics
National Scientific Center of Traumatology and Orthopedics Named after Academician N.D. Batpenov
Postgraduate Education Department
Peoples Friendship University of Russia
Institute of Life Sciences
10 лет помогаем публиковать статьи Международный издатель
Книга Публикация научной статьи Волощук 2026 Book Publication of a scientific article 2026