Use of cemented spacer with a handmade stem to treat acute periprosthetic tibial fracture infection: a case report.
We report an 85-year-old woman with dementia and dependent for normal life activities who was admitted due to a left periprosthetic tibial fracture. The tibial component was replaced by one with a long stem and she was discharged. Four weeks after the intervention the patient was re-admitted due to an acute prosthetic joint infection. All the components were removed and a bone-cement spacer with a handmade stem with a metal core was implanted. Radiological signs of fracture consolidation were observed after 3 months of follow-up. Due to the previous health status of the patient, it was decided to keep the spacer as a definitive treatment. After 24 months, the patient was able to sit without pain and to stand up with help using a knee brace. There were no radiological or clinical signs of infection.
['Font-Vizcarra|Lluís|L|', 'Izquierdo|Oscar|O|', 'García-Nuño|Laura|L|', 'González|Araceli|A|', 'Diaz-Brito|Vicenç|V|', 'Castellanos|Juan|J|']
cement spacer Acute prosthetic infection periprosthetic fracture.