Skip to main content
SpringerLink
Log in

Revision of well-fixed infected Birmingham hip resurfacing using the Explant system and cement mould: an useful technique

Reprise d’une PTH non cimentée de Birmingham infectée

  • Case Report
  • Published:
European Journal of Orthopaedic Surgery & Traumatology Aims and scope Submit manuscript

Abstract

Deep infections do occur during hip resurfacing despite all precautions. We present the method and use of the acetabular bone stock preserving Explant system in the removal of infected well-fixed cementless acetabular components and the technique of using an antibiotic impregnated cement spacer to provide a functional joint, enabling the patient to mobilise with minimal discomfort between two staged revision procedures.

Résumé

Les infections profondes peuvent survenir dans les arthroplasties de resurfaçage de la hanche malgré toutes les précautions. Nous présentons une méthode d’explantation qui permet de sauver le capital osseux acétabulaire lors de l’ablation d’une cupule cotyloïdienne non cimentée infectée. Cette méthode comporte la mise en place d’un spacer en ciment imprégné d’antibiotiques ce qui permet au patient d’avoir un inconfort minimisé en attendant le deuxième temps opératoire.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

References

  1. Mitchell PA, Masri BA, Garbuz DS, Greidanus NV, Wilson D, Duncan CP (2003) Removal of well-fixed, cementless, acetabular components in revision hip arthroplasty. J Bone Joint Surg Br 85-B:949–952

    Article  Google Scholar 

  2. Charnley J, Eftekhar N (1969) Post-operative infection in total prosthetic replacement arthroplasty of the hip-joint: with special reference to the bacterial content of the air in the operating room. Br J Surg 56:641–649

    Article  PubMed  CAS  Google Scholar 

  3. Lidwell OM, Lowbury EJ, Whyte W et al (1982) Effect of ultraclean air in operating rooms on deep sepsis in the joint after total hip or knee replacement: a randomised study. Br Med J 285:10–14

    Article  CAS  Google Scholar 

  4. Lidwell OM, Elson RA, Lowbury EJ et al (1987) Ultraclean air and antibiotics for prevention of post operative infection; a multicenter study of 8,052 joint replacement operations. Acta Orthop Scand 58:4–13

    Article  PubMed  CAS  Google Scholar 

  5. Blom AW, Taylor AH, Pattison G, Whitehouse S, Bannister GC (2003) Infection after total hip arthroplasty; the Avon experience. J Bone Joint Surg Br 85-B:956–9

    Article  Google Scholar 

  6. Collis DK (1988) Long-term results of an individual surgeon. Orthop Clin North Am 19:541–550

    PubMed  CAS  Google Scholar 

  7. Eftekhar NS (1987) Long-term results of cemented total hip arthroplasty. Clin Orthop 225:207–217

    PubMed  Google Scholar 

  8. Nolan DR, Fitzgerald RH Jr, Beckenbaugh RD, Coventry MB (1975) Complications of total hip arthroplasty treated by reoperation. J Bone Joint Surg Am 57-A:977–981

    Google Scholar 

  9. Preston ET (1978) Total hip arthroplasty: a review of 4 years experience. Clin Orthop 137:48–50

    PubMed  Google Scholar 

  10. Sculpo TP (1993) The economic impact of infected total joint arthroplasty. Instr Course Lect 42:349–351

    Google Scholar 

  11. Treacy RBC, McBryde CW, Pynsent PB (2005) Birmingham hip resurfacing arthroplasty-aminimal follow-up of 5 years. J Bone Joint Surg Br 87-B(2):167–170

    Article  Google Scholar 

  12. Raut VV, Siney PD, Wroblewski BM (1995) One stage revision of total hip athroplasty for deep infection, long-term follow-up. Clin Orthop 321:220–227

    Google Scholar 

  13. Callaghan JJ, Katz RP, Johnston RC (1999) One staged revision of the infected hip-a minimum 10-year follow-up study. Clin Orthop 369:139–143

    Article  PubMed  Google Scholar 

  14. Jackson WO, Schmalzried TP (2000) Limited role of direct exchange arthroplasty in the treatment of infected total hip replacements. Clin Orthop 381:101–105

    Article  PubMed  Google Scholar 

  15. Hsieh PH, Shih CH et al (2005) Treatment of deep infection of the hip associated with massive bone loss-two staged revision with an antibiotic loaded interim prosthesis followed by reconstruction with allograft. J Bone Joint Surg Br 87-B:770–775

    Article  Google Scholar 

  16. Loughead JM, Starks J, Chesney D et al (2006) Removal of acetabular bone in resurfacing arthroplasty of the hip—a comparison with hybrid total hip arthroplasty. J Bone Joint Surg Br 88-B:31–34

    Article  Google Scholar 

  17. Vendittoli PA, Lavigne M, Girard J, Roy AG (2006) A randomised study comparing resection of acetabular bone at resurfacing and total hip replacement. J Bone Joint Surg Br 88-B:997–1002

    Article  Google Scholar 

  18. Mallory TH, Lombardi AV, Fada RA et al (2000) Non-cemented acetabular removal in the presence of osteolysis: the affirmative. Clin Orthop 381:120–128

    Article  PubMed  Google Scholar 

  19. Lachiewicz PF, Anspach WE 3rd (1991) Removal of well-fixed acetabular component: a brief technical note of a new method. J Bone Joint Surg Am 73-A:1355–1356

    Google Scholar 

  20. Daum WJ, Calhoum JH (1988) Removal of the acetabular component without destruction of the bone bed. J Arthroplasty 3:379–380

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Orthopaedics and Trauma, Redditch Orthopaedic Centre, Alexandra Hospital, Woodrow Drive, Redditch, Worcestershire, B98 7UB, UK

    Aditya Kapoor, John C. Luscombe & A. D. Reading

Authors
  1. Aditya Kapoor
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. John C. Luscombe
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. A. D. Reading
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Aditya Kapoor.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Kapoor, A., Luscombe, J.C. & Reading, A.D. Revision of well-fixed infected Birmingham hip resurfacing using the Explant system and cement mould: an useful technique. Eur J Orthop Surg Traumatol 17, 381–383 (2007). https://doi.org/10.1007/s00590-007-0196-2

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00590-007-0196-2

Keywords

Mots clés

Search

Navigation