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MINERVA ORTOPEDICA E TRAUMATOLOGICA

A Journal on Orthopedics and Traumatology


Official Journal of the Piedmontese-Ligurian-Lombard Society of Orthopedics and Traumatology
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Minerva Ortopedica e Traumatologica 2007 February;58(1):9-21

Copyright © 2007 EDIZIONI MINERVA MEDICA

language: English

Preformed antibiotic-loaded cement spacers and cementless modular prosthesis for two-stage revision of infected total hip arthroplasty

Romanò C. L. 1, Romanò D. 2, Meani E. 1

1 Unit of Orthopedics and Traumatology Ortopedico G. Pini Institute, Milan, Italy
2 Unit of Orthopedics and Traumatology S. Carlo Borromeo Hospital, Milan, Italy


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Aim. The aim of this study was to prove the efficacy of two-stage revision arthroplasty with preformed antibiotic-loaded cement spacer and cementless modular hip revision prosthesis for septic hip arthroplasty.
Methods. Forty-six patients with infected total hip arthroplasty were treated with two-stage revision, using a preformed antibiotic-loaded cement spacer and cementless modular hip revision prosthesis. Systemic antibiotic therapy was administered for 6 weeks after the first and the second operation. Thirty-two patients required a long-stem cement spacer for proximal femoral bone loss and, in 9 patients, morcellized bone grafts were used.
Results. At a minimum follow-up of 2 years (maximum 6 years), no clinical or laboratory signs of infection recurrence were observed except in one patient (2.2%).
Conclusion. Preformed antibiotic spacers and noncemented hip revision prosthesis appear an effective solution for infected total hip prosthesis.

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