Clinical results and complications of a two-stage procedure in hip infection using preformed antibiotic-loaded cement spacers.

Clinical results and complications of a two-stage procedure in hip infection using preformed antibiotic-loaded cement spacers.
Acta Orthop Belg. 2019 Dec;85(4):516-524
Authors: Garcia-Oltra E, Garcia S, Bosch J, Combalia A, Soriano A, Bori G
Abstract
Antibiotic-loaded cement spacers are used in two- stage hip replacement. The aim of our study was to compare our results using a Spacer-G with previous results reported in the literature. From June 2002 to April 2010, all patients treated with a two-stage revision were retrospectively reviewed. On the basis of the results of the first-stage procedure, 52 patients underwent the second stage, six developed a dislocation, in eight the spacer was maintained, and five patients developed an acute infection of the spacer or the infection was not resolved. With regard to the second-stage procedure the revision was successful in 44 patients, a re-infection developed in four patients and the definitive prosthesis presented a mechanical complication in four more. The literature results reported that 97.5% of the spacers were reimplanted, although 12.09% of them developed a dislocation. Surgeons must assess several aspects so as to avoid mechanical complications like dislocation and re- infections during the two stages of the procedure.
PMID: 32374243 [PubMed - in process]

Source: Acta Orthopaedica Belgica - May 8, 2020 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research