Is it necessary to revise or reduce dislocated articulating antibiotic spacers?

Authors: Pedro Barreira, Daniel Berry
RECOMMENDATION: Unless the spacer is pressing against the skin with imminent necrosis/ulceration, resulting in severe, progressive loss of essential soft tissue or bone, neurovascular compromise or notable pain and disability for the patient, a dislocated or fractured antibioticimpregnated cement spacer is safe to leave in place until defi nitive second-stage surgery.
LEVEL OF EVIDENCE: Consensus
DELEGATE VOTE: Agree: 89%, Disagree: 8%, Abstain: 3% (Super Majority, Strong Consensus)

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