Two-Stage Cementless Revision of Late Total Hip Arthroplasty Infection Using a Premanufactured Spacer
Abstract
We observed 44 patients with 2-stage revisions for septic hip prostheses. We used a uniform protocol consisting of the implantation of a preformed spacer (interval 12-26 weeks), specific systemic antibiotic therapies, and cementless total hip arthroplasty at time of reimplantation. The minimum follow-up was 36 months (mean, 67 months; range, 36-120 months). During the spacer period, we observed 4 dislocations and 2 fractures leading to a resection arthroplasty interval before reimplantation in 5 cases. In one patient, reinfection was diagnosed 12 months after reimplantation. The Harris hip score increased from a preoperative mean of 39 to 90 at a mean follow-up of 67 months after reimplantation.
Keywords: THA, two stage, revision, spacer
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The Conflict of Interest statement associated with this article can be found at doi:10.1016/j.arth.2011.10.022.
PII: S0883-5403(11)00571-7
doi:10.1016/j.arth.2011.10.022
© 2011 Elsevier Inc. All rights reserved.
