Preformed acrylic bone cement spacer loaded with antibiotics: use of two-stage procedure in 10 patients because of infected hips after total replacement

Acta Orthop Scand. 2001 Dec;72(6):591-4. doi: 10.1080/000164701317269003.

Abstract

In 10 patients having deep infection after total hip replacement, we used a two-stage revision procedure involving implantation of a preformed spacer with a cylindrical rod coated with acrylic cement containing antibiotics (Spacer-G). This device, which remained in situ for an average of 5 months, permitted healing of the infection in 8 cases and reimplantation of a new prosthesis (mean follow-up 35 months). During treatment, 1 dislocation occurred. The spacer maintained the gap between both bone segments and allowed a certain degree of joint mobility. Use of Spacer-G improved the quality of life of the patients during treatment and accelerated recovery of function after reimplantation.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Antibiotic Prophylaxis / methods*
  • Bone Cements
  • Female
  • Follow-Up Studies
  • Hip Prosthesis / adverse effects*
  • Humans
  • Male
  • Middle Aged
  • Prosthesis Design
  • Prosthesis-Related Infections / diagnostic imaging
  • Prosthesis-Related Infections / prevention & control
  • Prosthesis-Related Infections / surgery*
  • Radiography
  • Reoperation
  • Sensitivity and Specificity
  • Treatment Outcome

Substances

  • Bone Cements