Two-stage arthroplasty using functional temporary prosthesis to treat infected arthroplasty and septic arthritis of the hip

Ibrahim El-Ganzoury; Ahmed Salem Eid

doi:10.1016/j.jor.2014.04.006

Two-stage arthroplasty using functional temporary prosthesis to treat infected arthroplasty and septic arthritis of the hip

J Orthop. 2014 May 28;12(Suppl 1):S86-93. doi: 10.1016/j.jor.2014.04.006. eCollection 2015 Oct.

Authors

Ibrahim El-Ganzoury¹, Ahmed Salem Eid²

Affiliations

¹ Assistant Professor, Department of Orthopaedic Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
² Lecturer, Department of Orthopaedic Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt ; Department of Orthopaedic Surgery, Faculty of Medicine, El-Demrdash University Hospital Ramses St, Cairo, Egypt.

Abstract

Aims: This study introduced a modified technique in two-stage revision arthroplasty to insert functional spacer using modular components coated with antibiotic-impregnated polymethylmethacrylate.

Methods: Since June 2006, we used the construct in twenty-three consecutive patients (17 with infected arthroplasty, and 6 with septic arthritis of the hip).

Results: Mean follow-up was 48 months (range 30-84 months). Two patients were excluded (no second stage), two patients had persistent infection, 19 patients received successful re-implantation at the second-stage.

Conclusion: The technique provides a construct that can be used safely and successfully as a functional, spacer in two-stage revision arthroplasty.

Keywords: Arthroplasty; Functional temporary prosthesis; Infection; Septic hip; Two-stage.