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The effect of endoskeleton on antibiotic impregnated cement spacer for treating deep hip infection

Hsu Wei-Hsiu, Kuo Liang-Tseng, Peng Kuo-Ti and 2 more

BMC Musculoskeletal Disorders · 2011

doi:10.1186/1471-2474-12-10 (opens in a new tab)

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Abstract

<p>Abstract</p> <p>Backgrounds</p> <p>A two-stage revision arthroplasty was suggested optimal treatment for deep infections in hip joint. The effect of endoskeleton of cement spacers on the interim function and infection control remains unclear.</p> <p>Methods</p> <p>From Jan. 2004 to Dec. 2007, we collected a prospective cohort of consecutive 34 patients who treated with two-stage revision total hip arthroplasty for deep infection of hip joint. In group 1, fifteen patients were treated by a novel design augmented with hip compression screw while nineteen patients were treated by traditional design in group 2.</p> <p>Results</p> <p>No fracture of cement spacer occurred in group 1 while 6 cases developed spacer failure in group 2. (p < 0.05) There were significant differences in bodily pain and general health perception between groups (p < 0.05).</p> <p>Conclusions</p> <p>Patients being treated for deep infection of hip joint using cement spacer augmented with stronger endoskeleton have lower pain levels and better joint function between stages.</p>

Abstract licence: CC BY-NC-ND

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