Preformed gentamicin spacers in two-stage revision hip arthroplasty: functional results and complications

被引:0
|
作者
Christophe Pattyn
Thomas De Geest
Pieter Ackerman
Emmanuel Audenaert
机构
[1] Ghent University Hospital,Department of Orthopaedic Surgery and Traumatology
来源
关键词
Dislocation Rate; Cement Spacer; Acetabular Defect; Space Dislocation; Sciatic Nerve Palsy;
D O I
暂无
中图分类号
学科分类号
摘要
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.
引用
收藏
页码:1471 / 1476
页数:5
相关论文
共 50 条
  • [1] Preformed gentamicin spacers in two-stage revision hip arthroplasty: functional results and complications
    Pattyn, Christophe
    De Geest, Thomas
    Ackerman, Pieter
    Audenaert, Emmanuel
    [J]. INTERNATIONAL ORTHOPAEDICS, 2011, 35 (10) : 1471 - 1476
  • [2] Release of gentamicin and vancomycin from temporary human hip spacers in two-stage revision of infected arthroplasty
    Minelli, EB
    Benini, A
    Magnan, B
    Bartolozzi, P
    [J]. JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY, 2004, 53 (02) : 329 - 334
  • [3] New uses for gentamicin-impregnated polymethyl methacrylate spacers in two-stage revision hip arthroplasty
    Oxborrow, NJ
    Stamer, J
    Andrews, M
    Stone, MH
    [J]. JOURNAL OF ARTHROPLASTY, 1997, 12 (06): : 709 - 710
  • [4] Response to: Release of gentamicin and vancomycin from temporary human hip spacers in two-stage revision of infected arthroplasty
    Stallmann, HP
    Faber, C
    Wuisman, PIJM
    [J]. JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY, 2004, 54 (02) : 570 - 570
  • [5] Preformed antibiotic-loaded cement spacers for two-stage revision of infected total hip arthroplasty. Long-term results
    Romano, Carlo L.
    Romano, Delia
    Albisetti, Alessandra
    Meani, Enzo
    [J]. HIP INTERNATIONAL, 2012, 22 : S46 - S53
  • [6] Articular spacers in two-stage revision arthroplasty for prosthetic joint infection of the hip and the knee
    Craig, Andy
    King, S. W.
    van Duren, B. H.
    Veysi, V. T.
    Jain, S.
    Palan, J.
    [J]. EFORT OPEN REVIEWS, 2022, 7 (02) : 137 - 152
  • [7] Liquid Gentamicin in Bone Cement Spacers: In Vivo Antibiotic Release and Systemic Safety in Two-Stage Revision of Infected Hip Arthroplasty
    Hsieh, Pang-Hsin
    Huang, Kuo-Chin
    Tai, Ching-Lung
    [J]. JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 2009, 66 (03): : 804 - 808
  • [8] Clinical results and complications of a two-stage procedure in hip infection using preformed antibiotic-loaded cement spacers
    Garcia-Oltra, Ester
    Garcia, Sebastian
    Bosch, Jordi
    Combalia, Andreu
    Soriano, Alex
    Bori, Guillem
    [J]. ACTA ORTHOPAEDICA BELGICA, 2019, 85 (04): : 516 - 524
  • [9] The Influence of Spacer Design on the Rate of Complications in Two-Stage Revision Hip Arthroplasty
    Jones, Christopher W.
    Selemon, Nicolas
    Nocon, Allina
    Bostrom, Mathias
    Westrich, Geoffrey
    Sculco, Peter K.
    [J]. JOURNAL OF ARTHROPLASTY, 2019, 34 (06): : 1201 - 1206
  • [10] Failure analysis of articulating polymethyl methacrylate spacers in two-stage revision total hip arthroplasty
    Jaubert, M.
    Le Baron, M.
    Jacquet, C.
    Couvreur, A.
    Fabre-Aubrespy, M.
    Flecher, X.
    Ollivier, M.
    Argenson, J-N
    [J]. BONE & JOINT OPEN, 2022, 3 (06): : 485 - 494