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New Technique for Custom-Made Spacers in Septic Two-Stage Revision of Total Hip Arthroplasties

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New Technique for Custom-Made Spacers in Septic Two-Stage Revision of Total Hip Arthroplasties. / Mederake, Moritz; Hofmann, Ulf Krister; Fink, Bernd.

In: ANTIBIOTICS-BASEL, Vol. 10, No. 9, 1073, 04.09.2021.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Mederake, M, Hofmann, UK & Fink, B 2021, 'New Technique for Custom-Made Spacers in Septic Two-Stage Revision of Total Hip Arthroplasties', ANTIBIOTICS-BASEL, vol. 10, no. 9, 1073. https://doi.org/10.3390/antibiotics10091073

APA

Mederake, M., Hofmann, U. K., & Fink, B. (2021). New Technique for Custom-Made Spacers in Septic Two-Stage Revision of Total Hip Arthroplasties. ANTIBIOTICS-BASEL, 10(9), [1073]. https://doi.org/10.3390/antibiotics10091073

Vancouver

Mederake M, Hofmann UK, Fink B. New Technique for Custom-Made Spacers in Septic Two-Stage Revision of Total Hip Arthroplasties. ANTIBIOTICS-BASEL. 2021 Sep 4;10(9). 1073. https://doi.org/10.3390/antibiotics10091073

Bibtex

@article{93321ce457054283ae449a402b83d493,
title = "New Technique for Custom-Made Spacers in Septic Two-Stage Revision of Total Hip Arthroplasties",
abstract = "The choice of spacer in the interim phase of two-stage revision hip arthroplasty is crucial. Conventional concepts like a Girdlestone situation, handformed or preformed bone cement spacers show complications like soft-tissue contractions, abrasion of bone cement particles, dislocation, breakage and a low level of mobility in the interim phase. To address these disadvantages, the senior author developed a new technique for custom-made spacers in septic two-stage revision of total hip arthroplasties using prosthetic implants with individualized antibiotic mixture in the cement applying a mechanical inferior cementation method. The aim of this study was to evaluate the results of these spacers with respect to their non-inferiority in terms of reinfection and survival-rate of the new implant and to describe the complications associated with this procedure. Our collective consisted of 130 patients with a median follow-up of nearly five years. With a reinfect-free rate of 92% and a spacer-related complication rate of 10% (8% articular dislocation, 1% periprosthetic joint fracture, 1% breakage), this procedure seems to be safe and superior regarding complications compared to conventional concepts. Further studies are necessary to show the clinical benefit of this procedure.",
author = "Moritz Mederake and Hofmann, {Ulf Krister} and Bernd Fink",
year = "2021",
month = sep,
day = "4",
doi = "10.3390/antibiotics10091073",
language = "English",
volume = "10",
journal = "ANTIBIOTICS-BASEL",
issn = "2079-6382",
publisher = "MDPI Multidisciplinary Digital Publishing Institute",
number = "9",

}

RIS

TY - JOUR

T1 - New Technique for Custom-Made Spacers in Septic Two-Stage Revision of Total Hip Arthroplasties

AU - Mederake, Moritz

AU - Hofmann, Ulf Krister

AU - Fink, Bernd

PY - 2021/9/4

Y1 - 2021/9/4

N2 - The choice of spacer in the interim phase of two-stage revision hip arthroplasty is crucial. Conventional concepts like a Girdlestone situation, handformed or preformed bone cement spacers show complications like soft-tissue contractions, abrasion of bone cement particles, dislocation, breakage and a low level of mobility in the interim phase. To address these disadvantages, the senior author developed a new technique for custom-made spacers in septic two-stage revision of total hip arthroplasties using prosthetic implants with individualized antibiotic mixture in the cement applying a mechanical inferior cementation method. The aim of this study was to evaluate the results of these spacers with respect to their non-inferiority in terms of reinfection and survival-rate of the new implant and to describe the complications associated with this procedure. Our collective consisted of 130 patients with a median follow-up of nearly five years. With a reinfect-free rate of 92% and a spacer-related complication rate of 10% (8% articular dislocation, 1% periprosthetic joint fracture, 1% breakage), this procedure seems to be safe and superior regarding complications compared to conventional concepts. Further studies are necessary to show the clinical benefit of this procedure.

AB - The choice of spacer in the interim phase of two-stage revision hip arthroplasty is crucial. Conventional concepts like a Girdlestone situation, handformed or preformed bone cement spacers show complications like soft-tissue contractions, abrasion of bone cement particles, dislocation, breakage and a low level of mobility in the interim phase. To address these disadvantages, the senior author developed a new technique for custom-made spacers in septic two-stage revision of total hip arthroplasties using prosthetic implants with individualized antibiotic mixture in the cement applying a mechanical inferior cementation method. The aim of this study was to evaluate the results of these spacers with respect to their non-inferiority in terms of reinfection and survival-rate of the new implant and to describe the complications associated with this procedure. Our collective consisted of 130 patients with a median follow-up of nearly five years. With a reinfect-free rate of 92% and a spacer-related complication rate of 10% (8% articular dislocation, 1% periprosthetic joint fracture, 1% breakage), this procedure seems to be safe and superior regarding complications compared to conventional concepts. Further studies are necessary to show the clinical benefit of this procedure.

U2 - 10.3390/antibiotics10091073

DO - 10.3390/antibiotics10091073

M3 - SCORING: Journal article

C2 - 34572655

VL - 10

JO - ANTIBIOTICS-BASEL

JF - ANTIBIOTICS-BASEL

SN - 2079-6382

IS - 9

M1 - 1073

ER -