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Femoral Spacers in Septic Two-Stage Revision

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Abstract

Periprosthetic infection is a serious complication that can occur following endoprosthetic replacement of the hip joint. In late infections, all foreign material must be removed. The most common procedure is a two-stage revision using a spacer containing antibiotics for 6–12 weeks followed by implantation of a new prosthesis. Alternatively, if the pathogen has been identified, a new prosthesis (usually with antibiotic-containing cement) can be implanted directly in a one-stage revision. The latter is also indicated if a spacer cannot be used because of acetabular defects. There are various concepts for two-stage revisions with regard to the type of spacer, duration of the insert, and the type of prosthesis used. These are discussed in detail in this chapter along with one-stage revisions and mixed concepts.

Keywords

  • Spacer
  • Periprosthetic joint infection
  • Two-step exchange
  • Late infection
  • Cement
  • Antibiotic

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Fink, B. (2022). Femoral Spacers in Septic Two-Stage Revision. In: Femoral Revision Arthroplasty. Springer, Cham. https://doi.org/10.1007/978-3-030-84821-7_19

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  • DOI: https://doi.org/10.1007/978-3-030-84821-7_19

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