The use of interlocking prostheses for both temporary and definitive management of infected periprosthetic femoral fractures.
case_series · Level IV
Where this comes from
- Record sourced from PubMed, PMID 21855272.
- Also identified by DOI 10.1016/j.arth.2010.11.021.
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Abstract
Infected periprosthetic fractures around total hip arthroplasties are an extremely challenging problem. We describe our experience of managing infected periprosthetic femoral fractures using interlocking long-stem femoral prostheses either as temporary functional spacers or as definitive implants. The Cannulock (Orthodesign, Christchurch, United Kingdom) uncoated stem was used in 12 cases, and the Kent hip prosthesis (Biomet Merck, Bridgend, United Kingdom), in 5 cases. Satisfactory outcome was noted in all cases, and in 11 cases, revision to a definitive stem has been undertaken after successful control of infection and fracture union. The use of interlocking stems offers a relatively appealing solution for a complex problem and avoids the complications that would be associated with resection of the entire femur or the use of large quantities of bone cement.
Medical subject headings
- Anti-Bacterial Agents
- Arthroplasty, Replacement, Hip
- Femoral Fractures
- Hip Prosthesis
- Periprosthetic Fractures
- Prosthesis Design
- Prosthesis-Related Infections
Anatomy
- femur
- hip