Successful reimplantation of total femoral prosthesis after deep infection

Long-Term Follow-up After Limb Salvage in Skeletally Immature Children with a Primary Malignant Tumor of the Distal End of the Femur

“…Among the patients who had endoprosthetic reconstruction in our study, six had a deep infection. Débridement and irrigation without removal of the endoprosthesis was performed in two patients; staged reimplantation, in two patients 27 ; removal of the endoprosthesis followed by arthrodesis 28 , in one patient; and amputation 8 , in one patient. Two of the patients in the biological reconstruction group had a deep infection.…”

Mechanical complications of hip spacers: a systematic review of the literature

“…Thirteen studies reported the results of treatments in which a standardized prefabricated spacer was used [ 9 , 11 , 18 , 19 , 23 – 32 ], 5 studies reported on spacers that were intraoperatively produced by means of standardized molds or based on the method of Ivarson et al [ 33 ] (by separately duplicating the shape of the retrieved femoral head and the femoral stem component with bone cement) [ 17 , 31 , 34 – 36 ], 20 studies reported on intraoperatively manually shaped spacers [ 2 , 10 , 14 , 16 , 33 , 37 – 51 ], and two studies presented series in which different types of spacers were used. [ 7 , 15 ] (Table 1 ).…”

“…The metallic component used was variable and included K-wires, Steinmann pins, rush pins, intramedullary nails, plates, steel rods, cerclages, femoral stems, and antibiotic-coated prostheses (Table 1 ). In detail, 30 studies reported on spacers with a metallic core [ 9 – 11 , 16 , 18 , 19 , 24 – 32 , 35 – 38 , 41 , 42 , 44 – 51 ], 8 studies on metal-free spacers [ 2 , 17 , 23 , 33 , 34 , 39 , 40 , 43 ], and two studies presented a series in which spacers both with and without metal components were included [ 14 , 15 ] (Table 1 ).…”

Dead Space Management After Orthopaedic Trauma

“…2A, B). [11][12][13][14][15][16][17][18][19][20][21][22][23] When mixed with antibiotic powder, it serves as a local antibiotic delivery vehicle capable of very high antibiotic concentrations when compared with levels obtained from systemic antibiotics. Block spacers offer enhanced skeletal stability and maintenance of soft tissue tension between debridements and/or while treating active infection.…”