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Published on: March 3, 2023
The effect of endoskeleton on antibiotic impregnated cement spacer for treating deep hip infection
Kuo-Ti Peng1, Liang-Tseng Kuo, Wei-Hsiu Hsu
1Division of Sports Medicine, Department of Orthopedic Surgery, Chang Gung Memorial Hospital at Chia Yi, (6 West Section Chia Pu Road), Chia Yi Hsien, (613), Taiwan.
Backgrounds:
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.
Methods:
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.
Results:
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).
Conclusions:
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.
