TY - JOUR
T1 - The Use of a Supra-Acetabular Antibiotic-Loaded Cement Shelf to Improve Hip Stability in First-Stage Infected Total Hip Arthroplasty
AU - Drexler, Michael
AU - Kuzyk, Paul R.T.
AU - Koo, Kevin
AU - Gross, Allan E.
AU - Kosashvili, Yona
AU - Reischl, Nickola
AU - Rutenberg, Tal Frenkel
AU - Safir, Oleg
N1 - Publisher Copyright:
© 2016 Elsevier Inc.
PY - 2016/11/1
Y1 - 2016/11/1
N2 - Background Antibiotic-loaded cement spacers in first-stage revision total hip arthroplasty (THA) for managing infection are associated with high dislocation and fracture rates. The aim of this study was to report the use of an antibiotic-loaded cemented supra-acetabular roof augmentation to reinforce hip stability after cement spacer insertion for first-stage total hip revision in the treatment of infected THA. Methods We retrospectively reviewed a consecutive series of 50 THAs involving 47 patients with an infected hip requiring staged revisions of THA. We documented dislocation, reinfection, and time for revision and outcome. Results There were no cases of hip dislocation, cement fractures, or any other technical complications associated with the use of the roof augmentation lip. Thirteen cases (26%) had a cemented spacer for longer than 120 days. Seven (14%) cases had recurrent infection after staged revision THA. Conclusion The antibiotic-loaded cemented supra-acetabular roof augment improved femoral head spacer coverage for patients requiring a staged revision THA for infection.
AB - Background Antibiotic-loaded cement spacers in first-stage revision total hip arthroplasty (THA) for managing infection are associated with high dislocation and fracture rates. The aim of this study was to report the use of an antibiotic-loaded cemented supra-acetabular roof augmentation to reinforce hip stability after cement spacer insertion for first-stage total hip revision in the treatment of infected THA. Methods We retrospectively reviewed a consecutive series of 50 THAs involving 47 patients with an infected hip requiring staged revisions of THA. We documented dislocation, reinfection, and time for revision and outcome. Results There were no cases of hip dislocation, cement fractures, or any other technical complications associated with the use of the roof augmentation lip. Thirteen cases (26%) had a cemented spacer for longer than 120 days. Seven (14%) cases had recurrent infection after staged revision THA. Conclusion The antibiotic-loaded cemented supra-acetabular roof augment improved femoral head spacer coverage for patients requiring a staged revision THA for infection.
KW - Antibiotic-loaded
KW - First-stage infected
KW - Supra-acetabular cement shelf
KW - Total hip arthroplasty
UR - http://www.scopus.com/inward/record.url?scp=84973890953&partnerID=8YFLogxK
U2 - 10.1016/j.arth.2016.04.029
DO - 10.1016/j.arth.2016.04.029
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C2 - 27235330
AN - SCOPUS:84973890953
SN - 0883-5403
VL - 31
SP - 2574
EP - 2578
JO - Journal of Arthroplasty
JF - Journal of Arthroplasty
IS - 11
ER -