Infección de artroplastia total de rodilla: revisión en dos tiempos quirúrgicos Hospital de San José, Bogotá DC.
Infection after total knee arthroplasty: a two-staged revision - Hospital de San José, Bogotá DC.
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Entre 2007 y 2010 se realizaron en el Hospital de San José de Bogotá DC siete revisiones de remplazo total de rodilla por infección con la técnica de reesterilización de la prótesis. Tres pacientes fueron llevados a segundo tiempo quirúrgico como manejo definitivo, en todos se consiguió erradicación de la infección y en dos los resultados funcionales buenos según el pontaje Knee Society Score. De los pacientes no incluidos, tres continúan con el espaciador y en uno se tuvo que realizar artrodesis en el segundo tiempo quirúrgico debido a persistencia de la infección. Se presenta la técnica quirúrgica de reesterilización de los componen tes protésicos y su uso a manera de espaciador articulado, como alternativa para el manejo efectivo de la infección en la prótesis total de rodilla.
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