Preformed gentamicin spacers in two-stage revision hip arthroplasty: functional results and complications.
Two-stage revisions with antibiotic-loaded spacers have gained popularity for treating infected hip-joint arthroplasties. The aim of this prospective study was to assess patient functionality between stages and treatment impact on duration of hospital stay and to describe related complications. Sixty-one consecutive patients with infected hip arthroplasties underwent two-stage revision with preformed spacer implantation. Mean Harris Hip and Merle d'Aubigné scores between the two stages were 39.9 and 7.6, respectively. Forty-six patients (75.4%) were able to leave hospital between stages. Spacer dislocation occurred in 16.4%. No cases of spacer breakage were noted. Preformed cement spacers provide acceptable functional outcome between revision hip arthroplasty stages and facilitate the surgical procedure without increasing mechanical complication rates.
Department of Orthopaedic Surgery and Traumatology, Ghent University Hospital, De Pintelaan 185 - P5, 9000, Ghent, Belgium. pattynchristophe@yahoo.com
Christophe
C
Pattyn
Thomas
T
De Geest
Pieter
P
Ackerman
Emmanuel
E
Audenaert
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000008:administration & dosage*; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects* / Q000379:methods; D001843:Bone Cements; D004185:Disability Evaluation; D005260:Female; D005839:Gentamicins / Q000008:administration & dosage*; D006304:Health Status; D006621:Hip Joint / Q000503:physiopathology / Q000601:surgery; D006622:Hip Prosthesis; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D011474:Prosthesis Design; D016459:Prosthesis-Related Infections / Q000188:drug therapy*; D020127:Recovery of Function; D012086:Reoperation; D016896:Treatment Outcome; D055815:Young Adult
D000900:Anti-Bacterial Agents; D001843:Bone Cements; D005839:Gentamicins