1. Clinical results and complications of a two-stage procedure in hip infection using preformed antibiotic-loaded cement spacers.
- Author
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Garcia-Oltra E, Garcia S, Bosch J, Combalia A, Soriano A, and Bori G
- Subjects
- Adult, Aged, Aged, 80 and over, Female, Humans, Male, Middle Aged, Postoperative Complications microbiology, Prosthesis-Related Infections microbiology, Reoperation, Retrospective Studies, Anti-Bacterial Agents therapeutic use, Arthroplasty, Replacement, Hip, Bone Cements pharmacology, Hip Prosthesis, Postoperative Complications therapy, Prosthesis-Related Infections therapy
- Abstract
Antibiotic-loaded cement spacers are used in two- stage hip replacement. The aim of our study was to compare our results using a Spacer-G with previous results reported in the literature. From June 2002 to April 2010, all patients treated with a two-stage revision were retrospectively reviewed. On the basis of the results of the first-stage procedure, 52 patients underwent the second stage, six developed a dislocation, in eight the spacer was maintained, and five patients developed an acute infection of the spacer or the infection was not resolved. With regard to the second-stage procedure the revision was successful in 44 patients, a re-infection developed in four patients and the definitive prosthesis presented a mechanical complication in four more. The literature results reported that 97.5% of the spacers were reimplanted, although 12.09% of them developed a dislocation. Surgeons must assess several aspects so as to avoid mechanical complications like dislocation and re- infections during the two stages of the procedure.
- Published
- 2019