title: A technique for the fabrication of a reinforced moulded articulating cement spacer in two-stage revision total hip arthroplasty.
abstract: We describe an inexpensive method of producing a reinforced articulating cement spacer using a commercially available hip cement mould. We have a cohort of 15 consecutive patients in whom this novel cement spacer has been used. All patients were able to at least partially weight bear and none of the spacers fractured. Thirteen have been explanted at second stage operation after a minimum of eight weeks in situ. Two patients have been unable to undergo a second stage due to unrelated death and medical problems precluding further surgery. The articulating cement spacer described is produced using a technique that is simple, reproducible and allows a reinforced spacer to be created inexpensively without the need for special equipment.
authors.affiliation: Department of Orthopaedics, Norfolk and Norwich University Hospitals NHS Trust, Norwich, UK. mekent@ntlworld.com
authors.forename: Matthew
authors.initials: M
authors.lastname: Kent
authors.forename: Rajesh
authors.initials: R
authors.lastname: Rachha
authors.forename: Manoj
authors.initials: M
authors.lastname: Sood
mesh_terms: D000900:Anti-Bacterial Agents; D019644:Arthroplasty, Replacement, Hip / Q000295:instrumentation* / Q000379:methods; D001843:Bone Cements; D002484:Cementation / Q000379:methods; D003131:Combined Modality Therapy; D006621:Hip Joint / Q000601:surgery; D006622:Hip Prosthesis; D006801:Humans; D008826:Microbial Sensitivity Tests; D011474:Prosthesis Design; D011475:Prosthesis Failure; D016459:Prosthesis-Related Infections / Q000628:therapy; D012086:Reoperation; D016896:Treatment Outcome; D016474:Weight-Bearing
chemical_list: D000900:Anti-Bacterial Agents; D001843:Bone Cements
references.citation: J Arthroplasty. 2001 Oct;16(7):882-92
references.pmid: 11607905
references.citation: J Orthop Sci. 2003;8(6):823-8
references.pmid: 14648272
references.citation: Clin Orthop Relat Res. 2004 Oct;(427):37-46
references.pmid: 15552134
references.citation: J Orthop Sci. 2003;8(1):26-31
references.pmid: 12560882
references.citation: J Arthroplasty. 2007 Jan;22(1):72-8
references.pmid: 17197311
references.citation: Clin Orthop Relat Res. 2004 Oct;(427):79-85
references.pmid: 15552141
references.citation: J Arthroplasty. 2002 Aug;17(5):600-3
references.pmid: 12168176
references.citation: Int Orthop. 2010 Mar;34(3):341-7
references.pmid: 19418053
references.citation: J Bone Joint Surg Am. 2005 Feb;87(2):268-72
references.pmid: 15687146
references.citation: J Arthroplasty. 1998 Apr;13(3):331-8
references.pmid: 9590645
references.citation: J Arthroplasty. 1999 Sep;14(6):764-5
references.pmid: 10512451
references.citation: J Bone Joint Surg Br. 2005 Jun;87(6):770-5
references.pmid: 15911656
references.citation: J Arthroplasty. 2004 Sep;19(6):760-7
references.pmid: 15343538
references.citation: Acta Orthop Scand. 2001 Dec;72(6):591-4
references.pmid: 11817873
references.citation: Am J Orthop (Belle Mead NJ). 2002 Jul;31(7):425-7
references.pmid: 12180631
references.citation: J Trauma. 2004 Jun;56(6):1247-52
references.pmid: 15211133
references.citation: Proc Inst Mech Eng H. 2003;217(1):1-8
references.pmid: 12578213
references.citation: J Bone Joint Surg Am. 2007 Apr;89(4):871-82
references.pmid: 17403814
references.citation: J Arthroplasty. 1998 Feb;13(2):197-9
references.pmid: 9526214
references.citation: J Arthroplasty. 2002 Sep;17(6):785-7
references.pmid: 12216036
references.citation: J Bone Joint Surg Am. 2002;84-A Suppl 2:123-8
references.pmid: 12479350
references.citation: J Arthroplasty. 1997 Sep;12(6):615-23
references.pmid: 9306211