Antibiotic impregnated total femur spacers: a technical tip.

Authors:
Colin D Canham
Colin D Canham
University of Rochester
Rochester | United States
Christopher P Walsh
Christopher P Walsh
Detroit Medical Center/Providence Hospital Orthopaedic Surgery Residency Program
Stephen J Incavo
Stephen J Incavo
Houston Methodist Hospital
Houston | United States

Arthroplast Today 2018 Mar 1;4(1):65-70. Epub 2017 Aug 1.

Houston Methodist Orthopedics & Sports Medicine, Outpatient Center, Houston, TX, USA.

Simultaneous prosthetic joint infection of ipsilateral hip and knee arthroplasties is often accompanied by significant bone loss and presents a challenging reconstructive problem. Two-stage reconstruction is favored and requires the placement of a total femur spacer, which is not a commercially available device. We describe a surgical technique, reporting on 2 cases in which a customized total femur antibiotic impregnated spacer was created by combining an articulating knee spacer and an articulating hip spacer with a reinforced cement dowel construct connecting the 2 spacers. Custom total femoral spacers are useful in the management of infected femoral megaprostheses and cases with ipsilateral injected hip and knee arthroplasties and severe femoral bone loss.

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Source
http://dx.doi.org/10.1016/j.artd.2017.06.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5859218PMC

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March 2018
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