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Updated: Jun 16, 2026

Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty
Published on: February 27, 2018
Long-term Survival of Hip Cement Spacer: A Case Report
Roshan Jacob1, Mackenzie Sowers1, Kelly Chandler1
1Departamento de Cirurgia Ortopédica, University of Alabama at Birmingham, Birmingham, Alabama, Estados Unidos.
Abstract:
We present a unique case of a 56-year-old male patient who ambulated on a hip cement spacer for 11 years. After hemiarthroplasty after a motor vehicle accident, the patient developed periprosthetic joint infection (PJI) several years later, and underwent stage-1 revision. With the resolution of the infection after stage 1, the patient refused the second stage due to satisfaction with the cement spacer for nearly 11 years. To our knowledge, this is the longest reported case of a cement spacer remaining in an ambulating patient. This case demonstrates the mechanical reliability of metal-reinforced cement spacers, which can remain for long periods in selected patients.
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