Novel Antibiotic-Loaded Cement Femoral Head Spacer for the Remedy of Superior Pyogenic Arthritis in Grownup Hip.
J Arthroplasty. 2017 Dec 29;:
Authors: Cho YJ, Patel D, Chun YS, Shin WJ, Rhyu KH
BACKGROUND: The intention of this examine is to current a remedy for end-stage pyogenic arthritis of the hip utilizing a novel cement spacer. This spacer induced much less harm to the proximal femoral bone and made the conversion to whole hip arthroplasty (THA) extra handy whereas sustaining some great benefits of present cement spacers loaded with antibiotics.
METHODS: We retrospectively reviewed 10 consecutive circumstances of hip pyogenic arthritis with joint destruction. These circumstances occurred from September 2009 to June 2015. In these circumstances, we used an antibiotic-loaded, cement spacer that was shaped within the form of the femoral head. This spacer rested on a number of screws that had been inserted within the remaining neck of the femur. As soon as the an infection subsided, a conversion to THA was carried out in all circumstances. Analysis included medical and radiologic outcomes and the event of problems.
RESULTS: The imply interval between spacer insertion and conversion to THA was 101.6 days (vary, 59-187 days). The imply follow-up interval from preliminary spacer insertion was 44.9 months (vary, 15-95 months). All circumstances underwent noncemented THA following the decision of the preliminary an infection. The imply Harris Hip Scores at preliminary go to, earlier than conversion to THA, and on closing follow-up had been 58.eight, 71.zero, and 92.5, respectively. No case had any spacer-related problems, recurrence of an infection, or dislocation.
CONCLUSION: The remedy of superior pyogenic arthritis with this novel femoral head spacer method considerably diminished ache, preserved proximal femoral bone and tender tissue rigidity, managed an infection, improved perform, and allowed for simpler conversion to THA.
PMID: 29361346 [PubMed – as supplied by publisher]