case_images: PMC10493111_01
case_images: Picture of a knee before spacer implantation. Fistula could be visible on the medial side of the knee.
case_images: IMCRJ-16-513-g0001.jpg
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case_images: One year after the primary TKA fistula opened and functioned for 8 years (Figure 1).
case_images: Radiography of the right knee joint before spacer implantation. Severe bone loss could be visible under tibial component. (a) in the frontal plane; (b) in the sagittal plane.
case_images: IMCRJ-16-513-g0002.jpg
case_images: PMC10493111_01_IMCRJ-16-513-g0002.jpg
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case_images: Intraoperative image after removal of the endoprosthesis components. An extensive T3 tibial defect by AORI and an F1 femoral defect by AORI are defined.
case_images: IMCRJ-16-513-g0003.jpg
case_images: PMC10493111_01_IMCRJ-16-513-g0003.jpg
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case_images: After we accomplished tibial component of a "spacer" out of polyethylene liner fixed on antibiotic loaded bone cement (ALBC) dowel armed by 6 mm threaded stainless-steel rod and femoral armed dowel (Figure 3).
case_images: Tibial component of a spacer with metaphyseal "sleeve" for bone defect reconstruction.
case_images: IMCRJ-16-513-g0004.jpg
case_images: PMC10493111_01_IMCRJ-16-513-g0004.jpg
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case_images: As soon as tibial component and femoral dowel cement polymerized and cooled to the room temperature, femoral dowel was introduced into femoral canal (Figure 4).  
case_images: Photograph of the knee joint 48 months after spacer implantation knee joint is determined. (a) in the frontal plane; (b) in the sagittal plane.
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case_images: PMC10493111_01_IMCRJ-16-513-g0005.jpg
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case_images: At the last follow-up the patient had no clinical or laboratory signs of PJI (no pain or laboratory signs of infection), full range of motion 0 /0 /125  (Figure 5).
case_images: Radiography of the knee joint 48 months after surgery. (a) in the frontal plane; (b) in the sagittal plane.
case_images: IMCRJ-16-513-g0006.jpg
case_images: PMC10493111_01_IMCRJ-16-513-g0006.jpg
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case_images: After 52 months (Figure 6), radiography showed no change at the cement/bone interface, no plastic deformation of the bone cement.