Technique for fabrication of an antibiotic-loaded cement hemiarthroplasty (ANTILOCH) prosthesis for infected total hip arthroplasty

Am J Orthop (Belle Mead NJ). 2002 Jul;31(7):425-7.

Abstract

In North America, staged reimplantation is the preferred treatment for infected total hip arthroplasty. A simple technique for implantation of an antibiotic-loaded cement spacer molded in the shape of a hemiarthroplasty prosthesis is described. A Teflon mold was cast in the shape of an Austin Moore hip hemiarthroplasty prosthesis. This mold allows for fabrication of a solid antibiotic-loaded cement spacer that accurately reproduces the shape of a hemiarthroplasty prosthesis. This technique allows for easy insertion, patient comfort, between-stage mobility, and local concentric delivery of antibiotic.

MeSH terms

  • Anti-Bacterial Agents / administration & dosage*
  • Arthroplasty, Replacement, Hip* / methods
  • Bone Cements*
  • Drug Delivery Systems*
  • Hip Prosthesis
  • Humans
  • Prosthesis Design
  • Prosthesis-Related Infections / surgery*

Substances

  • Anti-Bacterial Agents
  • Bone Cements