Two-Stage Revision Hip Arthroplasty for Infection: Comparison Between the Interim Use of Antibiotic-Loaded Cement Beads and a Spacer Prosthesis by Pang-Hsin.

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Presentation transcript:

Two-Stage Revision Hip Arthroplasty for Infection: Comparison Between the Interim Use of Antibiotic-Loaded Cement Beads and a Spacer Prosthesis by Pang-Hsin Hsieh, Chun-Hsiung Shih, Yu-Han Chang, Mel S. Lee, Hsin-Nung Shih, and Wen-E Yang J Bone Joint Surg Am Volume 86(9):1989-1997 September 1, 2004 ©2004 by The Journal of Bone and Joint Surgery, Inc.

The metal mold and the unipolar cup used to make the cement prosthesis. Pang-Hsin Hsieh et al. J Bone Joint Surg Am 2004;86:1989-1997 ©2004 by The Journal of Bone and Joint Surgery, Inc.

The femoral component of the cement prosthesis. Pang-Hsin Hsieh et al. J Bone Joint Surg Am 2004;86:1989-1997 ©2004 by The Journal of Bone and Joint Surgery, Inc.

Anteroposterior radiographs of the hip of a forty-five-year-old woman (from Group I) who had septic loosening of a left total hip prosthesis. Anteroposterior radiographs of the hip of a forty-five-year-old woman (from Group I) who had septic loosening of a left total hip prosthesis. Fig. 2-A Radiograph demonstrating loosening of the prosthesis. Pang-Hsin Hsieh et al. J Bone Joint Surg Am 2004;86:1989-1997 ©2004 by The Journal of Bone and Joint Surgery, Inc.

Radiograph made after removal of the prosthesis. Radiograph made after removal of the prosthesis. Antibiotic-impregnated cement beads were used to fill the dead space. Pang-Hsin Hsieh et al. J Bone Joint Surg Am 2004;86:1989-1997 ©2004 by The Journal of Bone and Joint Surgery, Inc.

Radiograph made five years after reimplantation. Pang-Hsin Hsieh et al. J Bone Joint Surg Am 2004;86:1989-1997 ©2004 by The Journal of Bone and Joint Surgery, Inc.

Anteroposterior radiographs of the hip of a fifty-six-year-old man (from Group II) who had septic loosening of a right total hip prosthesis. Anteroposterior radiographs of the hip of a fifty-six-year-old man (from Group II) who had septic loosening of a right total hip prosthesis. Fig. 3-A Radiograph demonstrating loosening of the prosthesis. Pang-Hsin Hsieh et al. J Bone Joint Surg Am 2004;86:1989-1997 ©2004 by The Journal of Bone and Joint Surgery, Inc.

Radiograph made three months after the first-stage surgery. Radiograph made three months after the first-stage surgery. The spacer prosthesis had a cement-on-cement bearing surface. Pang-Hsin Hsieh et al. J Bone Joint Surg Am 2004;86:1989-1997 ©2004 by The Journal of Bone and Joint Surgery, Inc.

Radiograph made four years after a cementless revision. Pang-Hsin Hsieh et al. J Bone Joint Surg Am 2004;86:1989-1997 ©2004 by The Journal of Bone and Joint Surgery, Inc.