Antibiotic-impregnated cement spacer as definitive management for XXXX .

@entity1 @entity174 @entity4034 @entity604 @entity281 @entity158 @entity1566
BACKGROUND: @entity4034 is a challenge for orthopaedic surgeons. There is a lack of scientific evidence to guide treatment. The purpose of this study was to report the clinical outcome of unplanned retention of antibiotic-impregnated cement spacer (ACS) in the management of @entity4034 . METHODS: Eight @entity1 (7 with tibial infections and 1 with a @entity281 ) with @entity4034 received radical debridement and insertion of an ACS into the bone defect as the definitive management. The mean follow-up period was 2  years (6  months to 4  years). All of these @entity1 had a cement spacer in place. RESULTS: No @entity1 exhibited radiographic evidence of excessive @entity604 . The @entity1 reported no or occasional mild @entity158 and exhibited complete weight-bearing abilities, with the exception of one @entity1 who required a crutch because of a @entity1566 . Signs of recurrence of the @entity4034 were not noted in any of the @entity1 , and no @entity174 occurred at last follow-up. CONCLUSION: Our study suggests that a proportion of @entity1 with unplanned retention of ACS appear to function well without necessarily requiring further surgical intervention.
