{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,27]],"date-time":"2025-11-27T10:44:47Z","timestamp":1764240287195,"version":"3.37.3"},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"04","license":[{"start":{"date-parts":[[2019,10,11]],"date-time":"2019-10-11T00:00:00Z","timestamp":1570752000000},"content-version":"vor","delay-in-days":314,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Joints"],"published-print":{"date-parts":[[2018,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>One-stage or two-stage revision total knee arthroplasty (TKA) in periprosthetic joint infections has been at the center of scientific debate for many years. As regards two-stage revision TKA, cement spacers have a good infection control rate with successful results reportable up to 96%, though some studies describe related spacer complications such as stiffness and loss of bone stock. We report a case of a fracture close to the antibiotic-loaded cement spacer in a 74-year-old female patient. Due to the blood tests and high risk of infection, we performed a hybrid external fixator. Six months after the surgery, X-rays did not show signs of fracture consolidation and nonunion was considered as an impending complication; therefore, the decision was made to perform tumor-like total knee arthroplasty. The postoperative evolution was satisfactory and return to daily activity without pain. At the 5-year follow-up, the patient showed a good score of 36-Item Short Form Health Survey and a range of motion from 0 to 90\u00b0 without pain. The X-rays did not show signs of mobilization, dislocation, recurrence of infection, or other complications.<\/jats:p>","DOI":"10.1055\/s-0039-1697614","type":"journal-article","created":{"date-parts":[[2019,10,11]],"date-time":"2019-10-11T19:02:39Z","timestamp":1570820559000},"page":"241-245","source":"Crossref","is-referenced-by-count":2,"title":["An Unusual Complication after Infected Total Knee Arthroplasty"],"prefix":"10.1055","volume":"06","author":[{"given":"Giuseppe","family":"Solarino","sequence":"additional","affiliation":[{"name":"Department of Basic Medical Sciences, Neuroscience and Sense Organs, Orthopaedic Unit, University of Bari \u201cAldo Moro,\u201d Bari, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8596-2422","authenticated-orcid":false,"given":"Giuseppe","family":"Maccagnano","sequence":"additional","affiliation":[{"name":"Department of Basic Medical Sciences, Neuroscience and Sense Organs, Orthopaedic Unit, University of Bari \u201cAldo Moro,\u201d Bari, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michele","family":"Saracino","sequence":"additional","affiliation":[{"name":"Department of Basic Medical Sciences, Neuroscience and Sense Organs, Orthopaedic Unit, University of Bari \u201cAldo Moro,\u201d Bari, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Biagio","family":"Moretti","sequence":"additional","affiliation":[{"name":"Department of Basic Medical Sciences, Neuroscience and Sense Organs, Orthopaedic Unit, University of Bari \u201cAldo Moro,\u201d Bari, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2019,10,11]]},"container-title":["Joints"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0039-1697614.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,12,24]],"date-time":"2019-12-24T18:31:04Z","timestamp":1577212264000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0039-1697614"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,12]]},"references-count":0,"journal-issue":{"issue":"04","published-online":{"date-parts":[[2019,12,24]]},"published-print":{"date-parts":[[2018,12]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0039-1697614","relation":{},"ISSN":["2282-4324","2512-9090"],"issn-type":[{"type":"print","value":"2282-4324"},{"type":"electronic","value":"2512-9090"}],"subject":[],"published":{"date-parts":[[2018,12]]}}}