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  • Title: Two-stage cementless revision of late total hip arthroplasty infection using a premanufactured spacer.
    Author: Neumann DR, Hofstaedter T, List C, Dorn U.
    Journal: J Arthroplasty; 2012 Aug; 27(7):1397-401. PubMed ID: 22177795.
    Abstract:
    We observed 44 patients with 2-stage revisions for septic hip prostheses. We used a uniform protocol consisting of the implantation of a preformed spacer (interval 12-26 weeks), specific systemic antibiotic therapies, and cementless total hip arthroplasty at time of reimplantation. The minimum follow-up was 36 months (mean, 67 months; range, 36-120 months). During the spacer period, we observed 4 dislocations and 2 fractures leading to a resection arthroplasty interval before reimplantation in 5 cases. In one patient, reinfection was diagnosed 12 months after reimplantation. The Harris hip score increased from a preoperative mean of 39 to 90 at a mean follow-up of 67 months after reimplantation.
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