Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Veltman, ES; Moojen, DJ; Glehr, M; Poolman, RW.
Similar rate of infection eradication for functional articulating, prefabricated and custom-made spacers in 2-stage revision of the infected total hip: a literature review.
Hip Int. 2016; 26(4):319-326
Doi: 10.5301/hipint.5000400
Web of Science
PubMed
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- Co-Autor*innen der Med Uni Graz
- Glehr Mathias
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- Abstract:
- 2-stage revision with the use of an antibiotic-loaded interval spacer is therapy of choice in late periprosthetic joint infection for most surgeons. For the spacer, either a prefabricated, functional articulating or custom-made spacer can be used. Little is known about which type of spacer provides optimal outcome after 2-stage revision. The aim of this study was to determine which type of spacer provides the best results, when used in 2-stage revision of an infected THA. We performed a systematic review of the literature to analyse which type of interval spacer provides highest infection eradication rate and best functional outcome after a minimum 2 year follow-up. Exclusion criteria were follow-up of less than 2 years, single-stage revision, or 2-stage revision without use of a spacer. 25 studies were included. Infection eradication rate was similar with rates of 96%, 93% and 95% for the prefabricated-, functional articulating- and custom-made spacers respectively. Functional outcome was scarcely described. Postoperative HHS was 81, 90 and 83 respectively. Functional articulating spacers achieve a comparable rate of infection eradication in the treatment of periprosthetic hip joint infections as compared to preformed or custom-made antibiotic-loaded spacers. There is insufficient evidence concerning rehabilitation and functional outcome after 2-stage revision hip arthroplasty to advocate or discourage the use of either kind of interval spacer.
- Find related publications in this database (using NLM MeSH Indexing)
- Anti-Bacterial Agents - administration & dosage
- Arthroplasty, Replacement, Hip -
- Hip Prosthesis -
- Humans -
- Prosthesis Design -
- Prosthesis-Related Infections - therapy
- Recovery of Function -
- Reoperation -
- Treatment Outcome -
- Find related publications in this database (Keywords)
- Antibiotic-loaded spacer
- Functional articulating spacer
- Periprosthetic joint infection
- Total hip arthroplasty
- 2-stage revision