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Updated: May 23, 2026

Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty
Published on: February 27, 2018
The use of collatamp in total hip arthroplasty
G Logroscino1, G Malerba, E Pagano
1Department of Ortopaedics, Catholic University of Rome, Policlinico A. Gemelli, Rome, Italy. G.Logroscino@fastwebnet.it
Insights
Antibiotic-loaded collagen sponges show promise for preventing and treating periprosthetic joint infection (PJI) after Total Hip Arthroplasty (THA). This method offers sustained local antibiotic delivery with minimal systemic exposure, aiding infection management.
Area of Science:
- Orthopedic Surgery
- Infectious Disease Management
- Biomaterials in Medicine
Background:
- Total Hip Arthroplasty (THA) is a prevalent orthopedic procedure with increasing incidence.
- Periprosthetic Joint Infection (PJI) remains a significant and feared complication despite advancements in surgical techniques and asepsis.
- Effective management strategies for PJI are crucial due to its potential for severe patient outcomes.
Purpose of the Study:
- To evaluate the utility of antibiotic-loaded collagen sponges (Collatamp EG) for the prophylaxis and treatment of PJI.
- To present a case report demonstrating the application of this therapeutic approach.
- To highlight the advantages of localized antibiotic delivery in managing PJI.
Main Methods:
- A case report detailing the use of antibiotic-loaded collagen sponges in a patient undergoing or treated for THA.
- Administration of antibiotics via a fully reabsorbable collagen carrier directly at the surgical site.
- Monitoring of treatment efficacy and patient outcomes.
Main Results:
- The study demonstrates the potential of antibiotic-loaded collagen sponges as an effective adjuvant therapy for PJI.
- High and sustained local antibiotic concentrations were achieved at the infection site.
- The localized delivery minimized systemic drug exposure, reducing potential side effects.
Conclusions:
- Antibiotic-loaded collagen sponges represent a valuable tool in the prevention and treatment of PJI following THA.
- The localized, sustained release of antibiotics offers a significant advantage over traditional systemic administration.
- The versatility and efficacy of this approach warrant further investigation in managing joint arthroplasty infections.
Abstract:
Total Hip Arthroplasty (THA) is one of the most common orthopedic operations in the world. The number of THA is expected to grow and with it the number of associated complications. Although improved surgical technique and the development of more scrupulous asepsis has decreased the incidence of periprosthetic joint infection (PJI), it remains one of the most feared complications of joint arthroplasty. The purpose of this study is to present the use of antibiotic-loaded collagen sponges (Collatamp EG) in the prophylaxis and treatment of PJI. For this scope a case report is described. The advantages offered by the antibiotic loaded sponges in terms of high and sustained concentration of antibiotic at the site of infection, diffused by the fully reabsorbable carrier, showed to be a an important adjuvant therapy in the treatment of PJI. Low systemic concentration of the drug and a wide versatility in surgical application are other advantages of this dispositive.
