Mechanical complications and reconstruction strategies at the site of hip spacer implantation

Over the past two decades antibiotic-impregnated hip spacers have become a popular procedure in the treatment of hip joint infections. Besides infection persistence and/or reinfection, major complications after hip spacer implantation include spacer fracture, -dislocation, and bone fracture. Moreove...

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Bibliographic Details
Published in:International journal of medical sciences 2009-09, Vol.6 (5), p.274-279
Main Authors: Anagnostakos, Konstantinos, Jung, Jochen, Schmid, Nora Verena, Schmitt, Eduard, Kelm, Jens
Format: Article
Language:English
Subjects:
Arthroplasty, Replacement, Hip - adverse effects
Arthroplasty, Replacement, Hip - methods
Femur - surgery
Fractures, Bone - etiology
Hip Joint
Humans
Joint Dislocations - etiology
Joint Dislocations - prevention & control
Prosthesis Failure
Review
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Summary:Over the past two decades antibiotic-impregnated hip spacers have become a popular procedure in the treatment of hip joint infections. Besides infection persistence and/or reinfection, major complications after hip spacer implantation include spacer fracture, -dislocation, and bone fracture. Moreover, in cases with extensive loss of femoral and/or acetabular bone alternative reconstructive techniques should be used for a stable spacer fixation and prevention of fractures or dislocations. The present article reviews the different types of spacer fractures and dislocations and offers some suggestions about reconstructive techniques for management of extensive loss of femoral and/or acetabular bone at the site of hip spacer implantation.
ISSN:1449-1907
1449-1907
DOI:10.7150/ijms.6.274