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J Arthroplasty. 2005 Oct;20(7):874-9.

Ten-year experience using an articulating antibiotic cement hip spacer for the treatment of chronically infected total hip.

Author information

1
Department of Orthopedics, University of Utah, Salt Lake City, USA.

Abstract

Infection is a devastating complication after total-hip arthroplasty. Between June 1991 and December 2001, 42 patients were treated at our center for chronically infected total-hip arthroplasty using a 2-stage articulating antibiotic hip spacer technique. Of the 27 patients available for review, 26 (94%) remain clinically free of infection at an average 76 months (range, 28-148 months) postoperatively. Twenty-two (81%) patients had a positive identification of the infecting organism. All patients received a minimum of 6 weeks of intravenous antibiotics and the Harris Hip Scores improved from 53 (range, 36-68) to 92 (range, 81-99) postoperatively. Advantages of this technique include improved patient function, maintenance of bone stock and soft tissue tension, thus simplifying reimplantation.

PMID:
16230238
DOI:
10.1016/j.arth.2004.12.055
[Indexed for MEDLINE]

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