title: Use of a cement-loaded Kuntscher nail in first-stage revision hip arthroplasty for massive femoral bone loss secondary to infection: a report of four cases.
abstract: A 2-stage revision total hip replacement (THR) is the standard treatment for a chronically infected THR with severe metadiaphyseal bone loss. A long-stem cemented prosthesis as part of a temporary articular spacer is commonly used during the first-stage procedure. Nonetheless, this option is expensive and can pose difficulties for patients with a small medullary canal. A construct using an antibiotic cement-loaded Kuntscher nail cemented with a highly polished Exeter stem has been devised and used in 4 patients.
authors.affiliation: Orthopaedic Research Unit, The Prince Charles Hospital, Brisbane, Queensland, Australia.
authors.forename: Corey
authors.initials: C
authors.lastname: Richards
authors.forename: Chris J
authors.initials: CJ
authors.lastname: Bell
authors.forename: Sameer
authors.initials: S
authors.lastname: Viswanathan
authors.forename: Hugh
authors.initials: H
authors.lastname: English
authors.forename: Ross W
authors.initials: RW
authors.lastname: Crawford
mesh_terms: D000368:Aged; D019644:Arthroplasty, Replacement, Hip / Q000295:instrumentation*; D001843:Bone Cements / Q000627:therapeutic use*; D001858:Bone Nails; D001862:Bone Resorption / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D005260:Female; D005270:Femur Head; D006622:Hip Prosthesis / Q000009:adverse effects; D006801:Humans; D008297:Male; D016459:Prosthesis-Related Infections / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D012086:Reoperation / Q000295:instrumentation*
chemical_list: D001843:Bone Cements