The use of a preformed spacer in two-stage revision of infected hip arthroplasties

被引：29

作者：

D'Angelo F. ^{[1
]}

Negri L. ^{[1
]}

Binda T. ^{[1
]}

Zatti G. ^{[1
]}

Cherubino P. ^{[1
]}

机构：

[1] Department of Orthopaedic and Traumatologic Sciences, University of Insubria, Varese

来源：

MUSCULOSKELETAL SURGERY | 2011年 / 95卷 / 2期

关键词：

Hip spacer; Preformed spacer; THA infection; Two-stage revision;

D O I：

10.1007/s12306-011-0128-5

中图分类号：

学科分类号：

摘要：

Two-stage revision with the use of an antibiotic- loaded cement spacer has spread widely as a successful treatment for THA infection. Between 1999 and 2008, 28 patients with infected THA were treated with twostage implant revision using a preformed spacer. The spacer was left in situ for 5.5 months (range 1-13 months), and the patients were allowed to walk with partial weight bearing. At a mean follow-up of 53 months (range 18-106 months), recurrence of infection was observed in only one patient. Complications were observed in five patients: three spacer dislocations, one distal femoral fracture occurred during stem removal, and one femoral artery pseudo-aneurysm. The mean HHS increased from 43 points (range 13-77) to 82 points (range 35-96). Though small prospective studies are reported in literature, good eradication rate and good functional outcomes encourage for the use of an antibiotic-loaded cement spacer. The industrial production ensures procedure standardization, well-defined physical and chemical properties to the device and eliminates time necessary to intraoperatory manufacturing. © 2011 Springer-Verlag.

引用

页码：115 / 120

页数：5

共 23 条

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