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Title: A modified cement spacer technique for infected total hip arthroplasties with significant bone loss. Author: Ben-Lulu O, Farno A, Gross AE, Backstein DJ, Kosashvili Y, Safir OA. Journal: J Arthroplasty; 2012 Apr; 27(4):613-9. PubMed ID: 21885243. Abstract: Complications related to femoral spacers are common during addressing infected total hip arthroplasties by 2-stage revision. We evaluated 11 patients who had 2-stage revisions with massive bone loss after removal of the infected components by a trochanteric osteotomy. All femoral cement spacers were assembled on intramedullary nails. Femurs were protected by a plate, whereas acetabuli were augmented by a cage or roof ring depending on the remaining bone stock. This additional hardware was covered with antibiotic-impregnated cement. Infection was eradicated in 10 (90.9%) of 11 patients within 3.5 months in average. None of the patients had spacer fracture, periprosthetic fracture, or dislocation. Augmentation by hardware covered with antibiotic-impregnated cement is effective and may reduce complications until definitive treatment is performed.[Abstract] [Full Text] [Related] [New Search]