Temporary antibiotic loaded acrylic hip replacement: a novel method for management of the infected THA.
Postoperative infection after hip joint replacement is an uncommon but potentially devastating complication in contemporary orthopaedics. Management in two stages is the more favored approach in North America. This introduces difficulty with patient management in the interval between stages, delays rehabilitation, and introduces technical difficulty during the second stage. A method has been developed whereby a temporary antibiotic-loaded facsimile of the hip is introduced at the first stage, designed to maintain stability of the joint, length of the limb, and mobility of the patient. It has been used in a total of 86 cases to date. The results in 46 cases with a minimum follow-up of 2 years are reviewed in this article. The infection was controlled in 93.5% of cases.
Kendall
R W
RW
Department of Orthopaedics, Vancouver Hospital and Health Sciences Centre, University of British Columbia, Canada.
Masri
B A
BA
Duncan
C P
CP
Beauchamp
C P
CP
McGraw
R W
RW
Bora
B
B
D000900:Anti-Bacterial Agents / Q000008:administration & dosage* / Q000627:therapeutic use; D001696:Biomechanical Phenomena; D001843:Bone Cements; D016503:Drug Delivery Systems; D006622:Hip Prosthesis / Q000009:adverse effects* / Q000379:methods*; D006801:Humans; D011474:Prosthesis Design; D012086:Reoperation; D013997:Time Factors