Technique for fabrication of an antibiotic-loaded cement hemiarthroplasty (ANTILOCH) prosthesis for infected total hip arthroplasty.
In North America, staged reimplantation is the preferred treatment for infected total hip arthroplasty. A simple technique for implantation of an antibiotic-loaded cement spacer molded in the shape of a hemiarthroplasty prosthesis is described. A Teflon mold was cast in the shape of an Austin Moore hip hemiarthroplasty prosthesis. This mold allows for fabrication of a solid antibiotic-loaded cement spacer that accurately reproduces the shape of a hemiarthroplasty prosthesis. This technique allows for easy insertion, patient comfort, between-stage mobility, and local concentric delivery of antibiotic.
Surgical Arthritis Service, The Hospital for Special Surgery, New York, New York, USA.
Andrew D
AD
Pearle
Thomas P
TP
Sculco
D000900:Anti-Bacterial Agents / Q000008:administration & dosage*; D019644:Arthroplasty, Replacement, Hip / Q000379:methods; D001843:Bone Cements; D016503:Drug Delivery Systems; D006622:Hip Prosthesis; D006801:Humans; D011474:Prosthesis Design; D016459:Prosthesis-Related Infections / Q000601:surgery*
D000900:Anti-Bacterial Agents; D001843:Bone Cements