We report a series of 11 two-stage exchange arthroplasties for infected hip prostheses. The intermediate period was managed by using a gentamicin loaded cement spacer. At follow-up after 18-33 months, there was one recurrent infection. The spacer provides greater patient comfort and mobility, and may deliver high levels of antibiotics into the perioprosthetic tissue. The second stage of revision has been simplified and there have been no serious complications.
BourneR.B., HunterG.A., RorabeckC.H., MacnabJ.J.A six-year follow-up of infected total hip replacement managed by Girdlestone's arthroplasty.J Bone Joint Surg1984; 66B: 340–8.
2.
CleggJ.The results of the pseudoarthrosis after removal of an infected total hip prosthesis.J Bone Joint Surg1977; 59B: 298–301.
3.
BrauerJ.D., AmstutzH.C., O'CarrollP.F., DoreyF.J.Resection arthroplasty of the hip.J Bone Joint Surg1989; 71A: 669–78.
4.
KantorG.S., OstenkampJ.A., DorrL.D., FischerD., PerryJ., ConatyJ.P.Resection arthroplasty following infected total hip replacement arthroplasty.J Arthroplasty1986; 1: 83–9.
5.
McElwaineJ.P., ColvilleJ.Excision arthroplasty for infected total hip replacement.J Bone Joint Surg1984; 66B: 168–71.
6.
PettyW., GoldsmithS.Resection arthroplasty following infected total hip arthroplasty.J Bone Joint Surg1980; 62A: 889–96.
7.
DuncanC.P., MasriB.A.The role of antibiotic-loaded cement in the treatment of an infection after a hip replacement.J Bone Joint Surg1994; 76A: 1742–51.
8.
IvarssonI., WahlströmO., DjerfK., JacobsenS-A.Revision of infected hip replacement. Two-stage procedure with a temporary gentamicin spacer.Acta Orthop Scand1994; 65: 7–8.
9.
KraayM.J., GoldbergV.M., FiggieHEIIIUse of an antibiotic impregnated polymethyl methacrylate intramedullary spacer for complicated revision total hip arthroplasty.J Arthroplasty1992; 7: 397–402.
10.
BuchholzH.W., ElsonR.A., EngelbrechtE., LodenkämperH., RöttgerJ., SiegelA.Management of deep infection of total hip replacement.J Bone Joint Surg1981; 63B: 342–53.
11.
CarlssonÅs, JosefssonG., LindbergL.Revision with gentamicin-impregnated cement for deep infections in total hip arthroplasties.J Bone Joint Surg1978; 60A: 1059–64.
12.
SanzénL., CarlssonÅs, JosefssonG., LindbergL.T.Revision operations on infected total hip arthroplasties.Clin Orthop1988; 229: 165–72.
13.
WroblewskiB.M.One-stage revision of infected cemented total hip arthroplasty.Clin Orthop1986; 211: 103–7.
14.
BerryD.J., ChandlerH.P., ReillyD.T.The use of bone allografts in two-stage reconstruction after failure of hip replacement due to infection.J Bone Joint Surg1991; 73A: 1460–8.
15.
ColyerR.A., CapelloW.N.Surgical treatment of the infected hip implant.Clin Orthop1994; 298: 75–9.
16.
FitzgeraldR.H.Jr., JonesD.R.Hip implant infection. Treatment with resection arthroplasty and late total hip arthroplasty.Am J Med1985; 78: 225–8.
17.
GarvinK.L., EvansB.G., SalvatiE.A., BrauseB.D.Palacos Gentamicin for the treatment of deep periprosthetic hip infections.Clin Orthop1994; 298: 97–105.
18.
LiebermanJ.R., CallawayG.H., SalvatiE.A., PelliciP.M., BrauseB.D.Treatment of the infected total hip arthroplasty with a two-stage reimplantation protocol.Clin Orthop1994; 301: 205–12.
19.
McDonaldD.J., FitzgeraldR.H.Jr., IlstrupD.M.Two-stage reconstruction of total hip arthroplasty because of infection.J Bone Joint Surg1989; 71A: 828–34.
20.
NestorB.J., HanssenA.D., Ferrer-GonzalesR., FitzgeraldR.H.Jr.The use of porous protheses in delayed reconstruction of total hip replacements that have failed because of infection.J Bone Joint Surg1994; 76A: 349–59.
21.
SalvatiE.A., ChokofskyK.M., BrauseB.D., WilsonP.D.Reimplantation in infection.Clin Orthop1982; 170: 62–75.
22.
GieG.A., LinderL., LingR.S.M., SimonJ.P., SlooffTJJH, TimperleyA.J.Impacted cancellous allografts and cement for revision total hip arthroplasty.J Bone Joint Surg1993; 75B: 14–21.
23.
HeadW.C., RussellA.W., EmersonR.H.Jr.Malinin TI. Revision total hip arthroplasty in the deficient femur with a proximal load-bearing prosthesis.Clin Orthop1994; 298: 119–26.
