A Novel Management of Infected Metacarpophalangeal Joint Silicone Arthroplasty with Antibiotic-Impregnated Spacer

Meng Guo, Kyle Lineberry and Hani Matloub

Department of Plastic Surgery, The Medical College of Wisconsin, USA
Clement J. Zablocki VA Medical Center, USA

^*Correspondance to: Meng Guo 

 PDF  Full Text DOI: 10.25107/2474-1647.2424

Abstract

Osteoarthritis of the Metacarpophalangeal (MCP) joint is a relatively rare condition that can be treated surgically with arthroplasties using silicone implants once conservative management has failed. Infection rates are low, but its consequences can be devastating when it does occur. We present a novel management of an infected MCP joint silicone arthroplasty with the use of a custom-made antibiotic-impregnated spacer in conjunction with systemic antimicrobial therapy. The patient was successfully treated using a two-stage exchange approach and subsequently gained functional range of motion in the affected joint.

Keywords

Osteoarthritis; Metacarpophalangeal joint; Silicone arthroplasty; Antibiotic spacer

Cite the article

Guo M, Lineberry K, Matloub H. A Novel Management of Infected Metacarpophalangeal Joint Silicone Arthroplasty with Antibiotic-Impregnated Spacer. Clin Surg. 2019; 4: 2424.