دورية أكاديمية
Management of Severe Proximal Femur Bone Loss With a Modular Articulating Antibiotic Spacer
| العنوان: | Management of Severe Proximal Femur Bone Loss With a Modular Articulating Antibiotic Spacer |
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| المؤلفون: | Wesley Mayes MD, Paul K. Edwards MD, Simon C. Mears MD, PhD |
| المصدر: | Geriatric Orthopaedic Surgery & Rehabilitation, Vol 10 (2019) |
| بيانات النشر: | SAGE Publishing |
| سنة النشر: | 2019 |
| المجموعة: | Directory of Open Access Journals: DOAJ Articles |
| مصطلحات موضوعية: | Orthopedic surgery, RD701-811, Geriatrics, RC952-954.6 |
| الوصف: | Introduction: Management of periprosthetic infection in total hip arthroplasties is challenging, especially when there is severe loss of proximal femoral bone stock. When a 2-stage approach is used, either a static or an articulating spacer may be considered. Static spacers leave the patient with a flail leg, which can be very difficult with massive bone loss. The purpose of this study is to report a novel technique for articulating antibiotic spacers and report our results. Materials and Methods: We describe a technique for an articulating hip spacer in the setting of a large amount of proximal femoral bone loss using a locked intramedullary nail, modular femoral body, and an all-polyethylene constrained acetabular component. This technique allowed for mobilization of the patient without a flail leg. Four patients underwent 2-stage reconstruction, and the case series is reported here. Results: No complications occurred due to the spacer, and in all cases, a second reconstruction was later carried out after treatment with intravenous antibiotics. Three of 4 patients did well after 2-stage reconstruction, with 1 patient ultimately requiring an amputation. Discussion: We feel this technique improves upon previously reported large spacers due to the stability and maintenance of leg length. Conclusion: This technique offers a modular solution to address massive bone loss of the proximal femur in the face of periprosthetic joint infection. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| تدمد: | 2151-4593 |
| العلاقة: | https://doi.org/10.1177/2151459319847399Test; https://doaj.org/toc/2151-4593Test; https://doaj.org/article/b4dea12f3bbd49578ce85d5fd7554ac4Test |
| DOI: | 10.1177/2151459319847399 |
| الإتاحة: | https://doi.org/10.1177/2151459319847399Test https://doaj.org/article/b4dea12f3bbd49578ce85d5fd7554ac4Test |
| رقم الانضمام: | edsbas.CB409031 |
| قاعدة البيانات: | BASE |
Full Text Finder | تدمد: | 21514593 |
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| DOI: | 10.1177/2151459319847399 |