A technique for the fabrication of a reinforced moulded articulating cement spacer in two-stage revision total hip arthroplasty

Abstract

We describe an inexpensive method of producing a reinforced articulating cement spacer using a commercially available hip cement mould. We have a cohort of 15 consecutive patients in whom this novel cement spacer has been used. All patients were able to at least partially weight bear and none of the spacers fractured. Thirteen have been explanted at second stage operation after a minimum of eight weeks in situ. Two patients have been unable to undergo a second stage due to unrelated death and medical problems precluding further surgery. The articulating cement spacer described is produced using a technique that is simple, reproducible and allows a reinforced spacer to be created inexpensively without the need for special equipment.

The Modular Universal Tumour And Revision System (MUTARS®) in endoprosthetic revision surgery

“…All infections were late infections after primary implantation and were treated with a two-step approach (explantation of the prosthesis, implantation of a replacement of antibiotic bone cement, thread and titanium rods comparable to the technique described by Kent et al [12]; reimplantation after the infection has healed).…”

Comparison of static and mobile antibiotic-impregnated cement spacers for the treatment of infected total knee arthroplasty

“…Static AICS have been used to deliver high doses of antibiotics locally and to minimise contractures of collateral ligaments, thus facilitating second-stage reimplantation [18]. Due to immobilisation between surgical stages, static AICS result in joint stiffness and exposure difficulty at time of reimplantation; accordingly, mobile AICS were developed to solve these problems [13,15].…”

Microbiological and pharmacological tests on new antibiotic‐loaded PMMA‐based composites for the treatment of osteomyelitis

“…and requires a multidisciplinary approach: removal of all implanted devices by the surgical debridement of all infected tissue followed by a specific systemic antibiotic therapy for at least 4-6 weeks. [3][4][5][6][7] To reduce the risk of infection, the administration of perioperative systemic antibiotic prophylaxis is also a routine procedure. 2 After systemic administration the degree of penetration of antibiotics into the bone is irregular, thus determining variable concentrations that are not always inhibitory and effective.…”