USE OF A FUNCTIONAL TEMPORARY PROSTHESIS IN A TWO-STAGE APPROACH TO INFECTION AT THE SITE OF A TOTAL HIP ARTHROPLASTY
| Autor: | Gracia Etienne, Phillip S. Ragland, Barry J. Waldman, Michael A. Mont, Amar D. Rajadhyaksha |
|---|---|
| Rok vydání: | 2003 |
| Předmět: |
Reoperation
musculoskeletal diseases medicine.medical_specialty Prosthesis-Related Infections Time Factors Temporary prosthesis Arthroplasty Replacement Hip medicine.medical_treatment Prosthesis Drug Delivery Systems medicine Humans Orthopedics and Sports Medicine Range of Motion Articular Stage (cooking) Femoral component business.industry Recovery of Function General Medicine Arthroplasty Anti-Bacterial Agents Surgery Hip Prosthesis Implant Range of motion business Total hip arthroplasty |
| Zdroj: | The Journal of Bone and Joint Surgery-American Volume. 85:94-96 |
| ISSN: | 0021-9355 |
| DOI: | 10.2106/00004623-200300004-00011 |
| Popis: | Two-stage revision arthroplasty is the gold standard for treatment of infection at the site of a total hip arthroplasty1-9. Unfortunately, removal of the components followed by a delay for antibiotic treatment can result in prolonged morbidity5,6. We describe two novel approaches to two-stage revision arthroplasty. ### General Description (Figs. 1-A, 2, 3) In thirty-two consecutive patients with an infection at the site of a total hip arthroplasty, we utilized a spacer composed of either the removed femoral component, which was autoclaved and then reimplanted, or an inexpensive modular femoral component. The femoral implant is coated with a mantle of antibiotic-impregnated polymethylmethacrylate before reinsertion3,7. A polyethylene acetabular liner is cemented in place with the same antibiotic-impregnated polymethylmethacrylate. The construct functions like a conventional total hip prosthesis but is intended to be utilized as a temporary implant in patients undergoing a two-stage approach to the management of an infection at the site of a total hip arthroplasty. Figs. 1-A, 1-B, and 1-C This sixty-nine-year-old patient presented with disabling pain seven years after a primary total hip arthroplasty. Fig. 1-A The preoperative anteroposterior radiograph shows loose … |
| Databáze: | OpenAIRE |
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