Use of Antibiotic Plates and Spacers for Fracture in the Setting of Periprosthetic Infection

J Orthop Trauma. 2019 Sep:33 Suppl 6:S21-S24. doi: 10.1097/BOT.0000000000001570.

Abstract

Prosthetic joint infection is a common cause of hip revision surgery, typically managed with a staged protocol and an antibiotic cement spacer. Patients being treated for prosthetic joint infection are at risk of fracture below the level of the spacer. Fracture in the setting of periprosthetic infection is a complex problem that requires the treating surgeon to use multiple techniques to achieve a successful outcome. The purpose of this case report is to highlight surgical strategies to successfully manage periprosthetic fractures complicated by infection.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Aged
  • Anti-Bacterial Agents / therapeutic use*
  • Arthroplasty, Replacement, Hip / adverse effects*
  • Bone Plates*
  • Coated Materials, Biocompatible / therapeutic use*
  • Female
  • Fracture Fixation, Internal / methods*
  • Humans
  • Periprosthetic Fractures / complications
  • Periprosthetic Fractures / diagnosis
  • Periprosthetic Fractures / surgery*
  • Prosthesis-Related Infections / complications
  • Prosthesis-Related Infections / diagnosis
  • Prosthesis-Related Infections / therapy*
  • Radiography
  • Reoperation

Substances

  • Anti-Bacterial Agents
  • Coated Materials, Biocompatible