Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Arthroplasty - Hip
Abstract number: 25223
TWO-STAGE ARTHROPLASTY USING A FUNCTIONAL TEMPORARY
PROSTHESIS TO TREAT INFECTED TOTAL HIP ARTHROPLASTY & SEPTIC
ARTHRITIS OF THE HIP-A MODIFIED TECHNIQUE
Ahmed SALEM, Ibrahim ELGANZOURY
Ain Shams University-Cairo-Egypt, Cairo (EGYPT)
Introduction: Two-stage revision arthroplasty is the gold standard for treatment of
infection at the site of a total hip Arthroplasty. The staged technique, as well, is a
good approach in dealing with end stage septic arthritis of the hipMethods: 8 patients
with infected total hip arthroplasty and 6 patients with adult native joint septic arthritis
of the hip were treated with two-stage revision. We utilized an inexpensive modular
femoral component coated with antibiotic-impregnated polymethylmethacrylate
articulating with a polyethylene acetabular liner inserted using a modified technique.
The construct functions, temporarily, as a conventional total hip prosthesis inbetween
the two stagesResults: 12 patients were followed for an average of 18
months. 2 patients were excluded (no second stage). No patient was lost to follow-up
evaluation from those included. No patient had recurrence of infection. No clinical,
laboratory, or radiographic evidence of infection at the final follow-up. 9 patients
(75%) had an improvement of Harris hip score of at least 30 points. Conclusion:
functional temporary construct formed of inexpensive femoral component articulating
with polyethylene acetabular liner can be used safely and successfully allowing range
of movement, weight bearing, with little cost as a joint-preserving spacer in the
awaiting period between the two stages in management of infected total hip
arthroplasty and septic arthritis of the hip
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