Two-Stage Cementless Revision of Late Total Hip Arthroplasty Infection Using a Premanufactured Spacer

Neumann, Daniel; Hofstaedter, Thomas; List, Corina; Dorn, U.

doi:10.1016/j.arth.2011.10.022

Cited by 35 publications

(33 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Since then, several authors reported on the outcomes using those preformed hip spacers (Spacer-G and InterSpace ® Hip) in the interim period of two-stage revision arthroplasty [3][4][5][6][7][8][9][10][11][12]. Most of the studies are limited due to a small number of included cases or due to a relatively short follow-up time.…”

Section: Discussionmentioning

confidence: 99%

“…The inner part of the spacer usually contains a stainless steel rod, which is covered by antibiotic loaded cement. The cement is preloaded by the manufacturer most often with 1.9 g gentamicin sulfate [3][4][5][6][7][8][9][10][11][12]. Surgeon-made spacers are intraoperatively preformed spacers ranging from hand-made techniques using a bulb syringe to fashion a femoral head, to molded systems with or wihtout a metal endo-skeleton, while in the majority of cases, metal endoskeleton was not used.…”

Section: Discussionmentioning

confidence: 99%

“…The level of evidence (level I-IV) was noted in every study according to the criteria set forth by the Oxford 2011 guidelines for level of evidence [13]. According to these guidelines, there were 3 level II, 4 level III and 36 Level IV studies (Tables 1a and 1b) [2][3][4][5][6][7][8][9][10][11][12].…”

Section: Methodsmentioning

confidence: 99%

“…The authors concluded, that preformed spacers were superior to custom-made spacer regarding functional outcome and complication rate, while the eradication rate was similar between both groups [2]. Since then, several authors have reported on the outcomes of preformed hip spacers (Spacer-G and InterSpace ® Hip) in the interim period of two-stage revision arthroplasty [3][4][5][6][7][8][9][10][11][12]. Many of these studies are small case series and it remains unclear if preformed hip spacers are superior to surgeon-made hip spacers in the treatment of periprosthetic joint infection following primary THA.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Are Preformed Articulating Spacers Superior To Surgeon-made Articulating Spacers in the Treatment Of PJI in THA? A Literature Review

Citak¹,

Masri²,

Springer³

et al. 2015

Open Orthopaedics J

View full text Add to dashboard Cite

Background and Purpose: Antibiotic-loaded cement spacers are typically manufactured by surgeons in the operating room. However, if the infecting organism is known preoperatively, the cement spacer can be fabricated (Spacer-G ® or the InterSpace ® Hip) in advance. It is unclear if preformed hip spacers are superior to surgeon-made hip spacers in the treatment of periprosthetic joint infection following primary THA.Methods: A literature review of the peer-reviewed literature indexed by MEDLINE and Embase was performed to identify studies reporting the outcomes of preformed and surgeon-made hip spacers in the treatment of infection following primary total hip arthroplasty (THA). A total of 43 articles met the inclusion criteria and were included in the analysis to compare the reinfection rate, Harris Hip Score (HHS) and spacer complication rates between surgeon-made and preformed hip spacers. Results and Interpretation:The analyzed studies included a total number of 1631 infected THA cases (n=1027 surgeonmade; n=604 preformed spacers). We found similar reinfection rates (6.0% surgeon-made, and 5.5% preformed spacers) and similar mean HHS at latest follow-up after reimplantation (HHS=84.3 surgeon-made, and HHS=81.8 preformed spacers) between both groups. However, patients treated with a surgeon-made articulating spacer had a higher spacer fracture rate compared to preformed articulating spacer. The use of preformed articulating spacers in the treatment of infected THA is not superior to surgeon-made articulating spacers regarding infection control and functional outcomes. However, the use of surgeon-made antibiotic spacers increased the risk of spacer fracture.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Are Preformed Articulating Spacers Superior To Surgeon-made Articulating Spacers in the Treatment Of PJI in THA? A Literature Review

Citak¹,

Masri²,

Springer³

et al. 2015

Open Orthopaedics J

View full text Add to dashboard Cite

show abstract

“…Neumann et al 1 reviewed 44 patients treated for infected THA with a uniform two-stage protocol including the use of a premanufactured monoblock spacer (Spacer-G; Tecres S.P.A., Italy) that comes in three sizes. In the early postoperative period, four spacers dislocated and two were associated with femoral fractures distal to the implant.…”

Section: Two-stage Revision For Infected Thamentioning

confidence: 99%

Functional outcome in patients with infection after total joint arthroplasty

Munro

Masri

Duncan

et al. 2012

Current Orthopaedic Practice

View full text Add to dashboard Cite

The aim in treating infected total joint arthroplasty is to eradicate infection while optimizing functional outcome. Procedures that reduce morbidity and allow early rehabilitation are desirable as long as they do not compromise infection control.Research that reports functional outcome is rare in the recent literature, especially prospective studies with comparative controls and data collected during treatment. Use of articulating spacers in the hip and the knee has progressed to include lowfriction designs that enhance function during and after treatment with two-stage revision. There is increasing interest in patients who can be treated with one-stage direct exchange procedures. Resistant organisms may be associated with inferior clearance of infection and poor function, especially when associated with multiple procedures or amputation. We have reviewed the current literature concerned with the treatment of infected total hip and total knee arthroplasty with a focus on reported functional outcomes.

show abstract

Spacers

2014

Journal Orthopaedic Research

View full text Add to dashboard Cite

Two-Stage Cementless Revision of Late Total Hip Arthroplasty Infection Using a Premanufactured Spacer

Cited by 35 publications

References 29 publications

Are Preformed Articulating Spacers Superior To Surgeon-made Articulating Spacers in the Treatment Of PJI in THA? A Literature Review

Are Preformed Articulating Spacers Superior To Surgeon-made Articulating Spacers in the Treatment Of PJI in THA? A Literature Review

Functional outcome in patients with infection after total joint arthroplasty

Spacers

Contact Info

Product

Resources

About