title: Mechanical complications and reconstruction strategies at the site of hip spacer implantation.
abstract: Over the past two decades antibiotic-impregnated hip spacers have become a popular procedure in the treatment of hip joint infections. Besides infection persistence and/or reinfection, major complications after hip spacer implantation include spacer fracture, -dislocation, and bone fracture. Moreover, in cases with extensive loss of femoral and/or acetabular bone alternative reconstructive techniques should be used for a stable spacer fixation and prevention of fractures or dislocations. The present article reviews the different types of spacer fractures and dislocations and offers some suggestions about reconstructive techniques for management of extensive loss of femoral and/or acetabular bone at the site of hip spacer implantation.
authors.affiliation: Klinik für Orthopädie und Orthopädische Chirurgie, Universitätskliniken des Saarlandes, Homburg/Saar, Germany. k.anagnostakos@web.de
authors.forename: Konstantinos
authors.initials: K
authors.lastname: Anagnostakos
authors.forename: Jochen
authors.initials: J
authors.lastname: Jung
authors.forename: Nora Verena
authors.initials: NV
authors.lastname: Schmid
authors.forename: Eduard
authors.initials: E
authors.lastname: Schmitt
authors.forename: Jens
authors.initials: J
authors.lastname: Kelm
mesh_terms: D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects* / Q000379:methods*; D005269:Femur / Q000601:surgery; D050723:Fractures, Bone / Q000209:etiology; D006621:Hip Joint; D006801:Humans; D004204:Joint Dislocations / Q000209:etiology / Q000517:prevention & control; D011475:Prosthesis Failure