Revision TKR ( RHK) : A 70 year old diabetic and hypertensive gentleman underwent B/L TKR 2 years back

A 70 year old diabetic and hypertensive gentleman underwent B/L TKR 2 years back. He developed pain and swelling in Right knee. For which aspiration of knee was done which confirmed infection. Initially non-operative treatment with long term suppressive antibiotics was done which failed. Thereafter we planned for 2 stage revision TKR. Management of infected TKR is challenging and very few centres in the country are routinely doing these cases. We at our centre follow a 2 stage protocol for these cases. In the 1st stage n infected prosthesis is removed alongwith thorough debridement and antibiotic mixed cement spacer is placed. In the 2nd stage the spacer is removed and a revision prosthesis (RHK) is implanted. At 2 weeks post-operatively the patient is walking comfortably with a frame.