Handmade spacers for two-stage exchange at the hip
This article describes a simple and safe technique for handmade spacers at the hip.INDICATION: Periprosthetic joint infection of the hip. Septic arthritis of the native joint.CONTRAINDICATIONS: Known allergy against components of polymethylmethacrylate bone cements. Inadequate compliance for two-stage exchange. Patient unfit to undergo two-stage exchange. Bony defect situation at the acetabulum impeding stable reduction of the spacer. Bone loss at the femur jeopardizing stable fixation of the stem. Soft tissue damage with need for plastic temporary vacuum-assisted wound closure (VAC) therapy.SURGICAL TECHNIQUE: Tailoring b...
Source: Operative Orthopadie und Traumatologie - May 13, 2023 Category: Orthopaedics Authors: Sebastian von Hertzberg-B ölch Martin Luedemann Jan Oberfeld Axel Jakuscheit Maximilian Rudert Source Type: research

Handmade spacers for two-stage exchange at the hip
This article describes a simple and safe technique for handmade spacers at the hip.INDICATION: Periprosthetic joint infection of the hip. Septic arthritis of the native joint.CONTRAINDICATIONS: Known allergy against components of polymethylmethacrylate bone cements. Inadequate compliance for two-stage exchange. Patient unfit to undergo two-stage exchange. Bony defect situation at the acetabulum impeding stable reduction of the spacer. Bone loss at the femur jeopardizing stable fixation of the stem. Soft tissue damage with need for plastic temporary vacuum-assisted wound closure (VAC) therapy.SURGICAL TECHNIQUE: Tailoring b...
Source: Operative Orthopadie und Traumatologie - May 13, 2023 Category: Orthopaedics Authors: Sebastian von Hertzberg-B ölch Martin Luedemann Jan Oberfeld Axel Jakuscheit Maximilian Rudert Source Type: research

Handmade spacers for two-stage exchange at the hip
This article describes a simple and safe technique for handmade spacers at the hip.INDICATION: Periprosthetic joint infection of the hip. Septic arthritis of the native joint.CONTRAINDICATIONS: Known allergy against components of polymethylmethacrylate bone cements. Inadequate compliance for two-stage exchange. Patient unfit to undergo two-stage exchange. Bony defect situation at the acetabulum impeding stable reduction of the spacer. Bone loss at the femur jeopardizing stable fixation of the stem. Soft tissue damage with need for plastic temporary vacuum-assisted wound closure (VAC) therapy.SURGICAL TECHNIQUE: Tailoring b...
Source: Operative Orthopadie und Traumatologie - May 13, 2023 Category: Orthopaedics Authors: Sebastian von Hertzberg-B ölch Martin Luedemann Jan Oberfeld Axel Jakuscheit Maximilian Rudert Source Type: research

Handmade spacers for two-stage exchange at the hip
This article describes a simple and safe technique for handmade spacers at the hip.INDICATION: Periprosthetic joint infection of the hip. Septic arthritis of the native joint.CONTRAINDICATIONS: Known allergy against components of polymethylmethacrylate bone cements. Inadequate compliance for two-stage exchange. Patient unfit to undergo two-stage exchange. Bony defect situation at the acetabulum impeding stable reduction of the spacer. Bone loss at the femur jeopardizing stable fixation of the stem. Soft tissue damage with need for plastic temporary vacuum-assisted wound closure (VAC) therapy.SURGICAL TECHNIQUE: Tailoring b...
Source: Operative Orthopadie und Traumatologie - May 13, 2023 Category: Orthopaedics Authors: Sebastian von Hertzberg-B ölch Martin Luedemann Jan Oberfeld Axel Jakuscheit Maximilian Rudert Source Type: research

Handmade spacers for two-stage exchange at the hip
This article describes a simple and safe technique for handmade spacers at the hip.INDICATION: Periprosthetic joint infection of the hip. Septic arthritis of the native joint.CONTRAINDICATIONS: Known allergy against components of polymethylmethacrylate bone cements. Inadequate compliance for two-stage exchange. Patient unfit to undergo two-stage exchange. Bony defect situation at the acetabulum impeding stable reduction of the spacer. Bone loss at the femur jeopardizing stable fixation of the stem. Soft tissue damage with need for plastic temporary vacuum-assisted wound closure (VAC) therapy.SURGICAL TECHNIQUE: Tailoring b...
Source: Operative Orthopadie und Traumatologie - May 13, 2023 Category: Orthopaedics Authors: Sebastian von Hertzberg-B ölch Martin Luedemann Jan Oberfeld Axel Jakuscheit Maximilian Rudert Source Type: research

Handmade spacers for two-stage exchange at the hip
This article describes a simple and safe technique for handmade spacers at the hip.INDICATION: Periprosthetic joint infection of the hip. Septic arthritis of the native joint.CONTRAINDICATIONS: Known allergy against components of polymethylmethacrylate bone cements. Inadequate compliance for two-stage exchange. Patient unfit to undergo two-stage exchange. Bony defect situation at the acetabulum impeding stable reduction of the spacer. Bone loss at the femur jeopardizing stable fixation of the stem. Soft tissue damage with need for plastic temporary vacuum-assisted wound closure (VAC) therapy.SURGICAL TECHNIQUE: Tailoring b...
Source: Operative Orthopadie und Traumatologie - May 13, 2023 Category: Orthopaedics Authors: Sebastian von Hertzberg-B ölch Martin Luedemann Jan Oberfeld Axel Jakuscheit Maximilian Rudert Source Type: research

Handmade spacers for two-stage exchange at the hip
This article describes a simple and safe technique for handmade spacers at the hip.INDICATION: Periprosthetic joint infection of the hip. Septic arthritis of the native joint.CONTRAINDICATIONS: Known allergy against components of polymethylmethacrylate bone cements. Inadequate compliance for two-stage exchange. Patient unfit to undergo two-stage exchange. Bony defect situation at the acetabulum impeding stable reduction of the spacer. Bone loss at the femur jeopardizing stable fixation of the stem. Soft tissue damage with need for plastic temporary vacuum-assisted wound closure (VAC) therapy.SURGICAL TECHNIQUE: Tailoring b...
Source: Operative Orthopadie und Traumatologie - May 13, 2023 Category: Orthopaedics Authors: Sebastian von Hertzberg-B ölch Martin Luedemann Jan Oberfeld Axel Jakuscheit Maximilian Rudert Source Type: research

Handmade spacers for two-stage exchange at the hip
This article describes a simple and safe technique for handmade spacers at the hip.INDICATION: Periprosthetic joint infection of the hip. Septic arthritis of the native joint.CONTRAINDICATIONS: Known allergy against components of polymethylmethacrylate bone cements. Inadequate compliance for two-stage exchange. Patient unfit to undergo two-stage exchange. Bony defect situation at the acetabulum impeding stable reduction of the spacer. Bone loss at the femur jeopardizing stable fixation of the stem. Soft tissue damage with need for plastic temporary vacuum-assisted wound closure (VAC) therapy.SURGICAL TECHNIQUE: Tailoring b...
Source: Operative Orthopadie und Traumatologie - May 13, 2023 Category: Orthopaedics Authors: Sebastian von Hertzberg-B ölch Martin Luedemann Jan Oberfeld Axel Jakuscheit Maximilian Rudert Source Type: research

Handmade spacers for two-stage exchange at the hip
This article describes a simple and safe technique for handmade spacers at the hip.INDICATION: Periprosthetic joint infection of the hip. Septic arthritis of the native joint.CONTRAINDICATIONS: Known allergy against components of polymethylmethacrylate bone cements. Inadequate compliance for two-stage exchange. Patient unfit to undergo two-stage exchange. Bony defect situation at the acetabulum impeding stable reduction of the spacer. Bone loss at the femur jeopardizing stable fixation of the stem. Soft tissue damage with need for plastic temporary vacuum-assisted wound closure (VAC) therapy.SURGICAL TECHNIQUE: Tailoring b...
Source: Operative Orthopadie und Traumatologie - May 13, 2023 Category: Orthopaedics Authors: Sebastian von Hertzberg-B ölch Martin Luedemann Jan Oberfeld Axel Jakuscheit Maximilian Rudert Source Type: research

Handmade spacers for two-stage exchange at the hip
This article describes a simple and safe technique for handmade spacers at the hip.INDICATION: Periprosthetic joint infection of the hip. Septic arthritis of the native joint.CONTRAINDICATIONS: Known allergy against components of polymethylmethacrylate bone cements. Inadequate compliance for two-stage exchange. Patient unfit to undergo two-stage exchange. Bony defect situation at the acetabulum impeding stable reduction of the spacer. Bone loss at the femur jeopardizing stable fixation of the stem. Soft tissue damage with need for plastic temporary vacuum-assisted wound closure (VAC) therapy.SURGICAL TECHNIQUE: Tailoring b...
Source: Operative Orthopadie und Traumatologie - May 13, 2023 Category: Orthopaedics Authors: Sebastian von Hertzberg-B ölch Martin Luedemann Jan Oberfeld Axel Jakuscheit Maximilian Rudert Source Type: research

Handmade spacers for two-stage exchange at the hip
This article describes a simple and safe technique for handmade spacers at the hip.INDICATION: Periprosthetic joint infection of the hip. Septic arthritis of the native joint.CONTRAINDICATIONS: Known allergy against components of polymethylmethacrylate bone cements. Inadequate compliance for two-stage exchange. Patient unfit to undergo two-stage exchange. Bony defect situation at the acetabulum impeding stable reduction of the spacer. Bone loss at the femur jeopardizing stable fixation of the stem. Soft tissue damage with need for plastic temporary vacuum-assisted wound closure (VAC) therapy.SURGICAL TECHNIQUE: Tailoring b...
Source: Operative Orthopadie und Traumatologie - May 13, 2023 Category: Orthopaedics Authors: Sebastian von Hertzberg-B ölch Martin Luedemann Jan Oberfeld Axel Jakuscheit Maximilian Rudert Source Type: research

Temporary arthrodesis through static spacer implantation in two-stage treatment of periprosthetic joint infections of the knee
Oper Orthop Traumatol. 2023 May 12. doi: 10.1007/s00064-023-00809-7. Online ahead of print.ABSTRACTOBJECTIVE: Treatment of chronic periprosthetic joint infection of the knee requires the removal of the implant and thorough debridement, with reimplantation in a second stage surgery. Intramedullary spacers can be helpful during the interval between explantation and reimplantation and provide a temporary arthrodesis which fixes the knee in extension preserving leg length and administers local antibiotic therapy.INDICATIONS: Periprosthetic joint infection of the knee with large bony defects and severe infection of the native j...
Source: Operative Orthopadie und Traumatologie - May 12, 2023 Category: Orthopaedics Authors: Max Jaenisch Soufian Ben Amar Mari Babasiz Alexander Seuser Hendrik Kohlhof Dieter Christian Wirtz Thomas Martin Randau Source Type: research

Handmade articulating spacer for two-stage exchange at the knee
This article describes a simple and safe technique for handmade articulating spacers at the knee.INDICATION: Chronic or relapsing periprosthetic joint infection of the knee.RELATIVE CONTRAINDICATIONS: Known allergy against components of polymethylmethacrylate (PMMA) bone cements or admixed antibiotics. Inadequate compliance for two-stage exchange. Patient not able to undergo two-stage exchange. Bony defect situation at the tibia or femur leading to collateral ligament insufficiency. Soft tissue damage with need for plastic temporary vacuum-assisted wound closure (VAC) therapy.SURGICAL TECHNIQUE: Removal of the prosthesis, ...
Source: Operative Orthopadie und Traumatologie - May 12, 2023 Category: Orthopaedics Authors: Martin L üdemann Sebastian von Hertzberg-B ölch Anna Gurok Jan Oberfeld Maximilian Rudert Source Type: research

Temporary arthrodesis through static spacer implantation in two-stage treatment of periprosthetic joint infections of the knee
Oper Orthop Traumatol. 2023 May 12. doi: 10.1007/s00064-023-00809-7. Online ahead of print.ABSTRACTOBJECTIVE: Treatment of chronic periprosthetic joint infection of the knee requires the removal of the implant and thorough debridement, with reimplantation in a second stage surgery. Intramedullary spacers can be helpful during the interval between explantation and reimplantation and provide a temporary arthrodesis which fixes the knee in extension preserving leg length and administers local antibiotic therapy.INDICATIONS: Periprosthetic joint infection of the knee with large bony defects and severe infection of the native j...
Source: Operative Orthopadie und Traumatologie - May 12, 2023 Category: Orthopaedics Authors: Max Jaenisch Soufian Ben Amar Mari Babasiz Alexander Seuser Hendrik Kohlhof Dieter Christian Wirtz Thomas Martin Randau Source Type: research

Handmade articulating spacer for two-stage exchange at the knee
This article describes a simple and safe technique for handmade articulating spacers at the knee.INDICATION: Chronic or relapsing periprosthetic joint infection of the knee.RELATIVE CONTRAINDICATIONS: Known allergy against components of polymethylmethacrylate (PMMA) bone cements or admixed antibiotics. Inadequate compliance for two-stage exchange. Patient not able to undergo two-stage exchange. Bony defect situation at the tibia or femur leading to collateral ligament insufficiency. Soft tissue damage with need for plastic temporary vacuum-assisted wound closure (VAC) therapy.SURGICAL TECHNIQUE: Removal of the prosthesis, ...
Source: Operative Orthopadie und Traumatologie - May 12, 2023 Category: Orthopaedics Authors: Martin L üdemann Sebastian von Hertzberg-B ölch Anna Gurok Jan Oberfeld Maximilian Rudert Source Type: research