Revision of infected hip replacement. Two-stage procedure with a temporary gentamicin spacer.
We revised 5 infected totally-replaced hips in 2 stages. At the first operation a gentamicin-loaded modelled cement spacer was inserted, and the definitive prosthesis was inserted 3-8 weeks later. 9-24 months after the last operation, there was a recurrent infection in 1 case. 2 of the patients could walk in the interval.
Ivarsson
I
I
Department of Orthopedics, University Hospital, Linköping, Sweden.
Wahlström
O
O
Djerf
K
K
Jacobsson
S A
SA
D000368:Aged; D001424:Bacterial Infections / Q000382:microbiology / Q000628:therapy*; D001843:Bone Cements / Q000627:therapeutic use*; D002484:Cementation / Q000379:methods*; D003131:Combined Modality Therapy; D005260:Female; D005839:Gentamicins / Q000627:therapeutic use*; D006622:Hip Prosthesis / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D016459:Prosthesis-Related Infections / Q000382:microbiology / Q000628:therapy*; D012008:Recurrence; D012086:Reoperation; D013997:Time Factors
D001843:Bone Cements; D005839:Gentamicins