Impact of Antibiotic-Impregnated Spacer Design in the Treatment of Periprosthetic Hip Infection.

ABSTRACT:

Background

Although 2-stage exchange arthroplasty, consisting of temporary insertion of an antibiotic-impregnated cement spacer (AICS), is considered the standard of care for chronic periprosthetic joint infection (PJI) in total hip arthroplasty (THA), a consensus on the AICS design has not yet been established. Ceramic-on-polyethylene AICSs (Poly-AICS) are theorized to cause less pain and better function than cement-on-bone AICS (CemB-AICS) but use non-antibiotic-impregnated components that may harbor bacteria. This study evaluates the impact of spacer design on infection-free survivorship following THA reimplantation as well as pain and function during the interim AICS stage.

Methods

A retrospective review was performed of all cases of THA PJI treated with either Poly-AICS

SUBMITTER: Debbi EM 

PROVIDER: S-EPMC9638717 | biostudies-literature | 2022 Dec

REPOSITORIES: biostudies-literature