Preliminary outcomes of proximal femur megaspacers

There are very few therapeutic alternatives for patients with proximal femoral epiphyseal bone deficit combined with a fracture at another level and signs of infection. This combination can be successfully managed with a proximal femur megaspacer. This article is intended to review our variation of...

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Bibliographic Details
Published in:Arthroplasty today 2019-06, Vol.5 (2), p.164-171
Main Authors: Sancineto, Carlos Federico, Pereira Duarte, Matias, Garcia Mansilla, Ignacio, Taype Zamboni, Danilo Roger Erick, Carabelli, Guido Sebastian, Barla, Jorge Daniel
Format: Article
Language:English
Subjects:
Antibiotic-coated spacers
Brief Communication
Femur osteomyelitis
Hip spacer
Megaspacer
Prosthetic hip infection
Septic nonunion
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Summary:There are very few therapeutic alternatives for patients with proximal femoral epiphyseal bone deficit combined with a fracture at another level and signs of infection. This combination can be successfully managed with a proximal femur megaspacer. This article is intended to review our variation of this technique and to show the initial results obtained from 11 cases. Of these 11 cases, there were 6 women and 5 men. The mean age was 66 years. The average number of previous surgeries was 3. Definitive prosthetic reconstructive treatment was achieved in 7 of these 11 subjects. The average time to reimplantation was 11.7 months. Fractures or nonunion healed uneventfully. Bone union and infection control were achieved in 10 of the 11 patients.
ISSN:2352-3441
2352-3441
DOI:10.1016/j.artd.2018.09.008