Temporary cement tectoplasty: a technique to improve prefabricated hip spacer stability in two-stage surgery for infected hip arthroplasty

被引:14
作者
Flores, X. [2 ]
Corona, P. S. [1 ,2 ]
Cortina, J. [2 ]
Guerra, E. [2 ]
Amat, C. [2 ]
机构
[1] Hosp Traumatol & Rehabil Vall dHebron, Dept Orthoped Surg, Barcelona 08035, Spain
[2] Hosp Univ Vall dHebron, Dept Orthoped Surg, Reconstruct & Sept Div, Barcelona 08035, Spain
关键词
Total joint arthroplasty; Infection; Spacer; Dislocation; REVISION; RECONSTRUCTION; BEADS;
D O I
10.1007/s00402-012-1461-3
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
100224 [整形外科学];
摘要
This technical note describes an intraoperatively custom-made, antibiotic-loaded bone cement roof, used in conjunction with a prefabricated hip spacer to improve component stability, as part of the first stage of a two-stage procedure for an infected hip implant. This technique was successfully used in seven cases who presented with extensive superior and/or posterio-superior acetabular defect, which created a risk of spacer dislocation. With this technique we were able to avoid any further dislocation in these seven cases. We believe that the technique may reduce postoperative spacer dislocation in cases with extensive acetabular defects, while improving clinical outcomes.
引用
收藏
页码:719 / 724
页数:6
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