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The Journal of Bone and Joint Surgery (American) 85:94-96 (2003)
© 2003 The Journal of Bone and Joint Surgery, Inc.

Use of a Functional Temporary Prosthesis in a Two-Stage Approach to Infection at the Site of a Total Hip Arthroplasty

Gracia Etienne, MD, PHD, Barry Waldman, MD, Amar D. Rajadhyaksha, MD, Phillip S. Ragland, MD and Michael A. Mont, MD

Corresponding author:
Gracia Etienne, MD, PhD
Sinai Hospital of Baltimore, Rubin Institute for Advanced Orthopaedics,
Center for Joint Preservation and Reconstruction, 2401 West Belvedere
Avenue, Baltimore, MD 21215. E-mail address: gevate@hotmail.com

The first 150 words of the full text of this article appear below.

Two-stage revision arthroplasty is the gold standard for treatment of infection at the site of a total hip arthroplasty1-9. Unfortunately, removal of the components followed by a delay for antibiotic treatment can result in prolonged morbidity5,6. We describe two novel approaches to two-stage revision arthroplasty.


   Methods
 
General Description (Figs. 1-A, 2, 3)
In thirty-two consecutive patients with an infection at the site of a total hip arthroplasty, we utilized a spacer composed of either the removed femoral component, which was autoclaved and then reimplanted, or an inexpensive modular femoral component. The femoral implant is coated with a mantle of antibiotic-impregnated polymethylmethacrylate before reinsertion3,7. A polyethylene acetabular liner is cemented in place with the same antibiotic-impregnated polymethylmethacrylate. The construct functions like a conventional total hip prosthesis but is intended to be utilized as a temporary implant in patients undergoing a two-stage approach to the management of an infection at the site of a total hip . . . [Full Text of this Article]


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Q. Cui, W. M. Mihalko, J. S. Shields, M. Ries, and K. J. Saleh
Antibiotic-Impregnated Cement Spacers for the Treatment of Infection Associated with Total Hip or Knee Arthroplasty
J. Bone Joint Surg. Am., April 1, 2007; 89(4): 871 - 882.
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