Creating a dual articulating antibiotic spacer for management of an infected total femur prosthesis hemiarthroplasty

The gold standard for management of chronic periprosthetic joint infections is a 2-stage revision arthroplasty with the first stage being explantation, debridement, and placement of a spacer. While there are implants designed to manage periprosthetic infections in hip and knee arthroplasty, there ar...

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Main Authors: Jeremiah Jacob Maupin, MD, Evan Corning, MD, Raymond Garrett Steinmetz, MD, Jeremy White, MD
Format: Article
Language:English
Published: Elsevier 2019-12-01
Series:Arthroplasty Today
Online Access:http://www.sciencedirect.com/science/article/pii/S235234411930086X
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author Jeremiah Jacob Maupin, MD
Evan Corning, MD
Raymond Garrett Steinmetz, MD
Jeremy White, MD
author_facet Jeremiah Jacob Maupin, MD
Evan Corning, MD
Raymond Garrett Steinmetz, MD
Jeremy White, MD
author_sort Jeremiah Jacob Maupin, MD
collection DOAJ
description The gold standard for management of chronic periprosthetic joint infections is a 2-stage revision arthroplasty with the first stage being explantation, debridement, and placement of a spacer. While there are implants designed to manage periprosthetic infections in hip and knee arthroplasty, there are not any commercially available implants designed to specifically manage an infected total femur megaprosthesis. This creates a unique surgical challenge and requires custom construction of a spacer to be performed by the surgeon intraoperatively. Here, we present our surgical technique for manufacturing a dual articulating total femur spacer. This technique facilitates range of motion at both the hip and knee joints, provides stability for axial loading in the extremity, and preserves the acetabulum while the patient undergoes antibiotic therapy to eradicate the infection. Keywords: Total femur spacer, Prosthetic joint infection, Revision total femur, Total femur replacement
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spelling doaj.art-fbd4407ad1114d6c89350e9ca417c21e2022-12-21T19:07:37ZengElsevierArthroplasty Today2352-34412019-12-0154482485Creating a dual articulating antibiotic spacer for management of an infected total femur prosthesis hemiarthroplastyJeremiah Jacob Maupin, MD0Evan Corning, MD1Raymond Garrett Steinmetz, MD2Jeremy White, MD3Department of Orthopaedic Surgery and Rehabilitation, University of Oklahoma, Oklahoma City, OK, USACorresponding author. 800 Stanton L Young Boulevard, AAT-3400, Oklahoma City, OK 73104, USA. Tel.: +1 405 271 5964.; Department of Orthopaedic Surgery and Rehabilitation, University of Oklahoma, Oklahoma City, OK, USADepartment of Orthopaedic Surgery and Rehabilitation, University of Oklahoma, Oklahoma City, OK, USADepartment of Orthopaedic Surgery and Rehabilitation, University of Oklahoma, Oklahoma City, OK, USAThe gold standard for management of chronic periprosthetic joint infections is a 2-stage revision arthroplasty with the first stage being explantation, debridement, and placement of a spacer. While there are implants designed to manage periprosthetic infections in hip and knee arthroplasty, there are not any commercially available implants designed to specifically manage an infected total femur megaprosthesis. This creates a unique surgical challenge and requires custom construction of a spacer to be performed by the surgeon intraoperatively. Here, we present our surgical technique for manufacturing a dual articulating total femur spacer. This technique facilitates range of motion at both the hip and knee joints, provides stability for axial loading in the extremity, and preserves the acetabulum while the patient undergoes antibiotic therapy to eradicate the infection. Keywords: Total femur spacer, Prosthetic joint infection, Revision total femur, Total femur replacementhttp://www.sciencedirect.com/science/article/pii/S235234411930086X
spellingShingle Jeremiah Jacob Maupin, MD
Evan Corning, MD
Raymond Garrett Steinmetz, MD
Jeremy White, MD
Creating a dual articulating antibiotic spacer for management of an infected total femur prosthesis hemiarthroplasty
Arthroplasty Today
title Creating a dual articulating antibiotic spacer for management of an infected total femur prosthesis hemiarthroplasty
title_full Creating a dual articulating antibiotic spacer for management of an infected total femur prosthesis hemiarthroplasty
title_fullStr Creating a dual articulating antibiotic spacer for management of an infected total femur prosthesis hemiarthroplasty
title_full_unstemmed Creating a dual articulating antibiotic spacer for management of an infected total femur prosthesis hemiarthroplasty
title_short Creating a dual articulating antibiotic spacer for management of an infected total femur prosthesis hemiarthroplasty
title_sort creating a dual articulating antibiotic spacer for management of an infected total femur prosthesis hemiarthroplasty
url http://www.sciencedirect.com/science/article/pii/S235234411930086X
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