title: Temporary cement tectoplasty: a technique to improve prefabricated hip spacer stability in two-stage surgery for infected hip arthroplasty.
abstract: This technical note describes an intraoperatively custom-made, antibiotic-loaded bone cement roof, used in conjunction with a prefabricated hip spacer to improve component stability, as part of the first stage of a two-stage procedure for an infected hip implant. This technique was successfully used in seven cases who presented with extensive superior and/or posterio-superior acetabular defect, which created a risk of spacer dislocation. With this technique we were able to avoid any further dislocation in these seven cases. We believe that the technique may reduce postoperative spacer dislocation in cases with extensive acetabular defects, while improving clinical outcomes.
authors.affiliation: Reconstruction and Septic Division, Department of Orthopedic Surgery, Hospital Universitario Vall d'Hebron, Barcelona 08035, Spain.
authors.forename: X
authors.initials: X
authors.lastname: Flores
authors.forename: P S
authors.initials: PS
authors.lastname: Corona
authors.forename: J
authors.initials: J
authors.lastname: Cortina
authors.forename: E
authors.initials: E
authors.lastname: Guerra
authors.forename: C
authors.initials: C
authors.lastname: Amat
mesh_terms: D000328:Adult; D000368:Aged; D000900:Anti-Bacterial Agents / Q000008:administration & dosage*; D019644:Arthroplasty, Replacement, Hip; D001843:Bone Cements; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D016459:Prosthesis-Related Infections / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D012086:Reoperation
chemical_list: D000900:Anti-Bacterial Agents; D001843:Bone Cements