case_images: PMC11823841_01
case_images: (a and b) Radiograph shows loose femoral and tibial components (implant: cemented posterior stabilized knee system by Maxx freedom).
case_images: JOCR-15-155-g002.jpg
case_images: PMC11823841_01_JOCR-15-155-g002.jpg
case_images: F1
case_images: A radiograph of the knee joint showed loose femoral and tibial components and osteolysis (Fig. 1).
case_images: (a and b) After removal of the components.
case_images: JOCR-15-155-g003.jpg
case_images: PMC11823841_01_JOCR-15-155-g003.jpg
case_images: F2
case_images: Following debridement, the prosthetic components of the knee joint were carefully removed (Fig. 2).
case_images: (a and b) Preparing the antibiotic and antifungal coated spacer (copal articulating spacer mold)
case_images: JOCR-15-155-g004.jpg
case_images: PMC11823841_01_JOCR-15-155-g004.jpg
case_images: F3
case_images: The spacer contained a mixture of amphotericin B 150 mg, vancomycin 2 g, and tobramycin 320 mg (Fig. 3).
case_images: (a and b) Anteroposterior and lateral X-rays of the right knee show the cement spacer.
case_images: JOCR-15-155-g005.jpg
case_images: PMC11823841_01_JOCR-15-155-g005.jpg
case_images: F4
case_images: This spacer served multiple purposes: It provided local delivery of antimicrobial agents to the affected area, maintained joint space integrity, and facilitated eradication of the infection (Fig. 4).
case_images: Colonies of Candida parapsilosis in para-aminosalicylic acid staining.
case_images: JOCR-15-155-g006.jpg
case_images: PMC11823841_01_JOCR-15-155-g006.jpg
case_images: F5
case_images: (a and b) Revision surgery with Buechel-Pappas rotating platform hinged knee revision system (cemented).
case_images: JOCR-15-155-g007.jpg
case_images: PMC11823841_01_JOCR-15-155-g007.jpg
case_images: F6
case_images: This procedure involved the removal of the antibiotic and antifungal-coated cement spacer and placement of a new prosthetic hinge knee joint with Buechel-Pappas rotating platform hinged revision knee system (Fig. 6).
case_images: (a and b) Post-operative X-ray photographs of the right knee in anteroposterior and lateral views, taken 6 months after revision surgery.
case_images: JOCR-15-155-g008.jpg
case_images: PMC11823841_01_JOCR-15-155-g008.jpg
case_images: F7
case_images: Clinical assessment and repeat X-rays were taken at 1, 3, and 6 months (Fig. 7).