International Medical Case Reports Journal (Sep 2023)

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

Journal volume & issue
Vol. Volume 16
pp. 513 – 520

Abstract

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Serik Balgazarov,1 Alexey Belokobylov,2 Arman Batpen,3 Zhanatai Ramazanov,1 Alexey Dolgov,4 Denis Rimashevskiy,5 Alexandr Kriklivyy6 1Department of Trauma Consequences and Combustiology, National Scientific Center of Traumatology and Orthopedics Named after Academician N.D. Batpenov, Astana, Republic of Kazakhstan; 2Republican Center for Endoprosthetics, National Scientific Center of Traumatology and Orthopedics Named after Academician N.D. Batpenov, Astana, Republic of Kazakhstan; 3National Scientific Center of Traumatology and Orthopedics Named after Academician N.D. Batpenov, Astana, Republic of Kazakhstan; 4Postgraduate Education Department, National Scientific Center of Traumatology and Orthopedics Named after Academician N.D. Batpenov, Astana, Republic of Kazakhstan; 5Peoples Friendship University of Russia, Trauma and Orthopedic Department, Moscow, Russia; 6Institute of Life Sciences, Karaganda Medical University, Karaganda, Republic of KazakhstanCorrespondence: Alexandr Kriklivyy, Institute of Life Sciences, Non-profit Joint Stock Company Karaganda Medical University, Gogol Street 40, Karaganda, 100008, Republic of Kazakhstan, Tel +7 702 372 7034, Email [email protected]: 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.Keywords: bone cement, knee joint, periprosthetic joint infection, tibial defect

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