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...
Main Authors: | , , , |
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Format: | Article |
Language: | English |
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Elsevier
2019-12-01
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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 |
first_indexed | 2024-12-21T10:14:33Z |
format | Article |
id | doaj.art-fbd4407ad1114d6c89350e9ca417c21e |
institution | Directory Open Access Journal |
issn | 2352-3441 |
language | English |
last_indexed | 2024-12-21T10:14:33Z |
publishDate | 2019-12-01 |
publisher | Elsevier |
record_format | Article |
series | Arthroplasty Today |
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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