SURGICAL TECHNIQUES: Using Articulating Spacers in a 2-Stage Revision
R. Michael Meneghini, MD, has used all of the most common types of spacers available when treating patients with an infected total knee or total hip arthroplasty. He’s now gravitated to pre-formed articulating spacers because they:
- Are modular, making it easy to build up the spacer blocks in the knee or dial the offset of the stem in the hip for better biomechanics
- Provide consistent, long-term elution of a low-dose antibiotic – up to 6 months if needed
- Allow for surgical efficiency because they are easy to implant and to remove, with removal often as 1 piece
And he’s not alone: Pre-formed articulating spacers account for about 55% of the spacer market in the US.
In a presentation at ICJR’s 12th Annual Winter Hip & Knee Course, Dr. Meneghini shared his experience with pre-formed articulating spacers and showed videos demonstrating the surgical technique for implanting and removing these spacers in patients undergoing 2-stage revision for an infected total knee or total hip.
Click the image above to hear more about about articulating spacers from Dr. Meneghini, who is Director of Orthopedics & Joint Replacement at IU Health Saxony Hospital in Fishers, Indiana.
Disclosures: Dr. Meneghini has disclosed that he receives royalties from and is a consultant for OsteoRemedies.