Meng Guo1*, Kyle Lineberry1 and Hani Matloub1,2
1Department of Plastic Surgery, The Medical College of Wisconsin, USA
2Clement J. Zablocki VA Medical Center, USA
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.
Osteoarthritis; Metacarpophalangeal joint; Silicone arthroplasty; Antibiotic spacer
Guo M, Lineberry K, Matloub H. A Novel Management of Infected Metacarpophalangeal Joint Silicone Arthroplasty with Antibiotic-Impregnated Spacer. Clin Surg. 2019; 4: 2424.