Transform infected revision arthroplasty

Courtesy of Mr Ramasubramanian Dharmarajan, Consultant Orthopaedic Surgeon, Cumbria, UK
Products: STIMULAN®
Clinical particulars
59-year-old female patient presented with infected well fixed total knee replacement two years after primary total knee replacement surgery. This was an acute presentation with all clinical features of infection with samples testing positive for Group B Streptococcus.  
Treatment
First stage – radical debridement, implant removal and insertion of antibiotic-loaded cement spacer and STIMULAN beads. Vancomycin was used to treat the infection. Second stage – At 10 weeks, clinically soft tissues were healthy and intra-operative specimens were clear for organisms. Rotating hinge prosthesis was re-implanted.  
Outcome
At 1 year follow-up the patient remains infection free and is under regular follow-up.   Note: See STIMULAN page for regulatory statements. MA0076R4
Evidence

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