Two-stage procedure in the treatment of late chronic hip infections--spacer implantation

Int J Med Sci. 2009 Sep 2;6(5):253-7. doi: 10.7150/ijms.6.253.

Abstract

Infection after total hip arthroplasties (THA) is a devastating complication with significant consequences for both the patients and the healthcare systems. In recent times, a two stage procedure using antibiotic-impregnated interim spacers has become the most popular treatment for late chronic hip joint infections after THA with success rates over 90%. In this review, we discuss the different types of spacers used in the treatment of chronically infected THA and conclude that hip spacers are effective in the treatment of hip joint infections.

Keywords: Total hip arthroplasty; antibiotic loaded cement; infection; spacers; treatment.

Publication types

  • Review

MeSH terms

  • Anti-Bacterial Agents / therapeutic use*
  • Arthroplasty, Replacement, Hip / adverse effects*
  • Bone Cements / chemistry
  • Bone Cements / therapeutic use
  • Humans
  • Prosthesis-Related Infections / drug therapy
  • Prosthesis-Related Infections / prevention & control
  • Prosthesis-Related Infections / surgery
  • Prosthesis-Related Infections / therapy*

Substances

  • Anti-Bacterial Agents
  • Bone Cements