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GMS Krankenhhyg Interdiszip. 2011;6(1):Doc16. doi: 10.3205/dgkh000173. Epub 2011 Dec 15.

Titanium-copper-nitride coated spacers for two-stage revision of infected total hip endoprostheses.

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Orthop├Ądische Klinik und Poliklinik, Universit├Ąt Rostock, Rostock, Germany.


Within the first two years after total hip arthroplasty implant-associated infection has become the second most common reason for a revision surgery. Two-stage implant exchange is frequently conducted using temporary spacers made of antibiotic-loaded cement in order to prevent a bacterial colonization on the spacer. Avoiding several disadvantages of cement spacers, a conventional hemi-endoprosthesis was equipped with a copper-containing implant coating for inhibition of bacterial biofilms. In the present paper details of this novel treatment concept are presented including a case report.


infection; spacer; titanium-copper-nitride coating; total hip arthroplasty

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