The Use of Interlocking Prostheses for Both Temporary and Definitive Management of Infected Periprosthetic Femoral Fractures
| Autor: | Sujith Konan, Faizal Rayan, Andrew R.J. Manketelow, Fares S. Haddad |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
Reoperation
medicine.medical_specialty Prosthesis-Related Infections Arthroplasty Replacement Hip medicine.medical_treatment Entire femur Fracture union Periprosthetic Blood Sedimentation Prosthesis Design Prosthesis Resection medicine Humans Orthopedics and Sports Medicine Interlocking Aged Retrospective Studies Aged 80 and over Fracture Healing business.industry Middle Aged Bone cement Combined Modality Therapy Anti-Bacterial Agents Surgery Radiography C-Reactive Protein Treatment Outcome Orthopedic surgery Hip Joint Hip Prosthesis Periprosthetic Fractures business Femoral Fractures |
| Zdroj: | The Journal of Arthroplasty. 26:1332-1337 |
| ISSN: | 0883-5403 |
| DOI: | 10.1016/j.arth.2010.11.021 |
| Popis: | Infected periprosthetic fractures around total hip arthroplasties are an extremely challenging problem. We describe our experience of managing infected periprosthetic femoral fractures using interlocking long-stem femoral prostheses either as temporary functional spacers or as definitive implants. The Cannulock (Orthodesign, Christchurch, United Kingdom) uncoated stem was used in 12 cases, and the Kent hip prosthesis (Biomet Merck, Bridgend, United Kingdom), in 5 cases. Satisfactory outcome was noted in all cases, and in 11 cases, revision to a definitive stem has been undertaken after successful control of infection and fracture union. The use of interlocking stems offers a relatively appealing solution for a complex problem and avoids the complications that would be associated with resection of the entire femur or the use of large quantities of bone cement. |
| Databáze: | OpenAIRE |
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