Case Report
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Apr 6, 2023; 11(10): 2321-2328
Published online Apr 6, 2023. doi: 10.12998/wjcc.v11.i10.2321
Treatment of periprosthetic knee infection and coexistent periprosthetic fracture: A case report and literature review
Lin-Jie Hao, Peng-Fei Wen, Yu-Min Zhang, Wei Song, Juan Chen, Tao Ma
Lin-Jie Hao, Peng-Fei Wen, Yu-Min Zhang, Wei Song, Juan Chen, Tao Ma, Department of Joint Surgery, Honghui Hospital, Xi'an Jiaotong University, Xi'an 710000, Shaanxi Province, China
Author contributions: Ma T and Zhang YM conceived and performed the surgery; Hao LJ assembled previous reported records and drafted the manuscript; Wen PF, Song W, and Chen J helped perform the surgery and revised the manuscript for important intellectual content; all authors have read and approved the final manuscript.
Supported by the General Cultivation Project of Xi'an Health Commission, No. 2021ms08.
Informed consent statement: Informed written consent was obtained from the patient for the publication of this case report.
Conflict-of-interest statement: All the authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Tao Ma, MD, Chief Doctor, Surgeon, Department of Joint Surgery, Honghui Hospital, Xi'an Jiaotong University, No. 555 Youyi East Road, Xi'an 710000, Shaanxi Province, China. 171303186@qq.com
Received: December 15, 2022
Peer-review started: December 15, 2022
First decision: January 20, 2023
Revised: February 8, 2023
Accepted: March 6, 2023
Article in press: March 6, 2023
Published online: April 6, 2023
Processing time: 104 Days and 21.1 Hours
Core Tip

Core Tip: Periprosthetic joint infection (PJI) and periprosthetic fracture (PPF) are among the most serious complications of knee arthroplasty. A two-stage revision surgery should be progressively performed in the treatment of PJI and coexistent PPF with bone loss. In the first-stage operation, a T-shaped cement spacer made from a rectangular vancomycin laden cement block and a cement coated plate was used after debridement. In the second-stage operation, the combination of cemented prosthesis and freeze-dried cortical allogenic splints were used for knee revision and fixation of PPF. Our approach offers an option for successful treatment of PJI and PPF.