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Chinese Journal of Joint Surgery(Electronic Edition) ›› 2022, Vol. 16 ›› Issue (02): 190-195. doi: 10.3877/cma.j.issn.1674-134X.2022.02.008

• Review • Previous Articles     Next Articles

Application of linezolid bone cement in periprosthetic joint infection

Changjiao Sun1, Qi Ma1, Liye Fang1, Pingping Xu1, Huimin Li1, Xu Cai1,()   

  1. 1. Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing 102218, China
  • Received:2020-06-08 Online:2022-04-01 Published:2022-05-23
  • Contact: Xu Cai

Abstract:

Two-stage revision with antibiotic bone cement spacer has been the gold standard for the treatment of periprosthetic joint infections. Now, the most commonly used antibiotics added to bone cement include gentamicin, tobramycin and vancomycin. However, there are more and more bacteria resistant to these antibiotics. Therefore, drugs other than aminoglycosides and glycopeptides are needed to treat and prevent periprosthetic joint infections. Linezolid is an ideal drug. It has high antibacterial activity to Gram-positive pathogens, which also have good permeability to joint and bones. Linezolid has antibacterial activity against active growth and resting pathogens in biofilms which is very important for treatment of periprosthetic joint infections. Linezolid shows similar or higher efficacy to vancomycin, against staphylococcus producing biofilms. This article reviewed the progress of linezolid bone cement in periprosthetic joint infections.

Key words: Linezolid, Anti-bacterial agents, Bone cement, Arthroplasty, replacement, Infection

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