Document Detail


Preformed gentamicin spacers in two-stage revision hip arthroplasty: functional results and complications.
MedLine Citation:
PMID:  21116817     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Two-stage revisions with antibiotic-loaded spacers have gained popularity for treating infected hip-joint arthroplasties. The aim of this prospective study was to assess patient functionality between stages and treatment impact on duration of hospital stay and to describe related complications. Sixty-one consecutive patients with infected hip arthroplasties underwent two-stage revision with preformed spacer implantation. Mean Harris Hip and Merle d'Aubigné scores between the two stages were 39.9 and 7.6, respectively. Forty-six patients (75.4%) were able to leave hospital between stages. Spacer dislocation occurred in 16.4%. No cases of spacer breakage were noted. Preformed cement spacers provide acceptable functional outcome between revision hip arthroplasty stages and facilitate the surgical procedure without increasing mechanical complication rates.
Authors:
Christophe Pattyn; Thomas De Geest; Pieter Ackerman; Emmanuel Audenaert
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Publication Detail:
Type:  Clinical Trial; Journal Article     Date:  2010-11-30
Journal Detail:
Title:  International orthopaedics     Volume:  35     ISSN:  1432-5195     ISO Abbreviation:  Int Orthop     Publication Date:  2011 Oct 
Date Detail:
Created Date:  2011-09-16     Completed Date:  2012-01-19     Revised Date:  2013-07-03    
Medline Journal Info:
Nlm Unique ID:  7705431     Medline TA:  Int Orthop     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  1471-6     Citation Subset:  IM    
Affiliation:
Department of Orthopaedic Surgery and Traumatology, Ghent University Hospital, De Pintelaan 185 - P5, 9000, Ghent, Belgium. pattynchristophe@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Anti-Bacterial Agents / administration & dosage*
Arthroplasty, Replacement, Hip / adverse effects*,  methods
Bone Cements
Disability Evaluation
Female
Gentamicins / administration & dosage*
Health Status
Hip Joint / physiopathology,  surgery
Hip Prosthesis*
Humans
Length of Stay
Male
Middle Aged
Prospective Studies
Prosthesis Design*
Prosthesis-Related Infections / drug therapy*
Recovery of Function
Reoperation
Treatment Outcome
Young Adult
Chemical
Reg. No./Substance:
0/Anti-Bacterial Agents; 0/Bone Cements; 0/Gentamicins
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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