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Orthop Clin North Am. 1993 Oct;24(4):751-9.

A temporary antibiotic-loaded joint replacement system for management of complex infections involving the hip.

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  • 1Department of Orthopaedics, University of British Columbia, Vancouver, Canada.


Management of the infected hip replacement associated with substantial loss of bone, especially segmental loss of the proximal femur, is a challenging problem. In this report, the authors outline the development of an immediate-fit, custom-made, antibiotic-selective replacement system for the hip and proximal femur, to help maintain limb length, joint stability, and mobility of the patient. Despite the initial relatively crude design, it was a valuable adjunct in the management of 15 consecutive cases. A more sophisticated and versatile system has since been developed for use in straightforward and complex cases.

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