Document Detail


Spacer endoprosthesis for the treatment of infected total hip arthroplasty.
MedLine Citation:
PMID:  15343538     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We reviewed the treatment of infected total hip arthroplasty with a temporary spacer endoprosthesis. To fabricate the spacer, antibiotic-loaded cement was inserted into a specially designed mold. A central rod pin was superficially imbedded as an endoskeleton once the cement reached a doughy state. After polymerization, the final product was removed from the mold and inserted as an articulating spacer. Twenty patients were followed for an average of 38 months (range, 26-67 months). There were no recurrent or persistent infections. Eighteen patients underwent a successful 2-stage exchange. Two patients retained the spacer as a definitive treatment method. Complications with the spacer included 2 fractures and 2 dislocations. Overall, this cost-effective technique provided efficient local antibiotic delivery, early mobilization, facilitation of reimplantation, and improved patient satisfaction.
Authors:
Sridhar M Durbhakula; John Czajka; Marc D Fuchs; Richard L Uhl
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of arthroplasty     Volume:  19     ISSN:  0883-5403     ISO Abbreviation:  J Arthroplasty     Publication Date:  2004 Sep 
Date Detail:
Created Date:  2004-09-02     Completed Date:  2004-12-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8703515     Medline TA:  J Arthroplasty     Country:  United States    
Other Details:
Languages:  eng     Pagination:  760-7     Citation Subset:  IM    
Affiliation:
Division of Orthopaedic Surgery, Albany Medical Center, New York, USA.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Anti-Bacterial Agents / administration & dosage*
Arthroplasty, Replacement, Hip / instrumentation*
Bone Cements*
Debridement
Female
Follow-Up Studies
Hip Prosthesis / adverse effects*
Humans
Male
Middle Aged
Postoperative Complications
Prosthesis Design
Prosthesis-Related Infections / surgery*
Reoperation
Tobramycin / administration & dosage
Treatment Outcome
Vancomycin / administration & dosage
Chemical
Reg. No./Substance:
0/Anti-Bacterial Agents; 0/Bone Cements; 1404-90-6/Vancomycin; 32986-56-4/Tobramycin

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


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