Subscribe to RSS
DOI: 10.1055/s-0041-1736341
Long-Term Survival of Hip Cement Spacer: A Case Report[*]
Article in several languages: português | English
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.
Keywords
arthroplasty, replacement, hip - hip joint - hip prosthesis - bone cements - prosthesis-related infections* Work developed at the Department of Orthopedic Surgery, University of Alabama at Birmingham, Birmingham, Alabama, United States.
Publication History
Received: 07 December 2020
Accepted: 11 February 2021
Article published online:
11 November 2021
© 2021. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil
-
Referências
- 1 Gundtoft PH, Pedersen AB, Varnum C, Overgaard S. Increased Mortality After Prosthetic Joint Infection in Primary THA. Clin Orthop Relat Res 2017; 475 (11) 2623-2631
- 2 Charette RS, Melnic CM. Two-Stage Revision Arthroplasty for the Treatment of Prosthetic Joint Infection. Curr Rev Musculoskelet Med 2018; 11 (03) 332-340
- 3 Citak M, Masri BA, Springer B, Argenson J-N, Kendoff DO. Are Preformed Articulating Spacers Superior To Surgeon-Made Articulating Spacers in the Treatment Of PJI in THA? A Literature Review. Open Orthop J 2015; 9: 255-261
- 4 D'Angelo F, Negri L, Binda T, Zatti G, Cherubino P. The use of a preformed spacer in two-stage revision of infected hip arthroplasties. Musculoskelet Surg 2011; 95 (02) 115-120
- 5 Scharfenberger A, Clark M, Lavoie G, O'Connor G, Masson E, Beaupre LA. Treatment of an infected total hip replacement with the PROSTALAC system. Part 1: Infection resolution. Can J Surg 2007; 50 (01) 24-28
- 6 Beaupre LA, Stampe K, Masson E. et al. Health-related quality of life with long-term retention of the PROSthesis of Antibiotic Loaded Acrylic Cement system following infection resolution in low demand patients. J Orthop Surg (Hong Kong) 2017; 25 (02) 2309499017716257
- 7 Parvizi J, Tan TL, Goswami K. et al. The 2018 Definition of Periprosthetic Hip and Knee Infection: An Evidence-Based and Validated Criteria. J Arthroplasty 2018; 33 (05) 1309-1314.e2
- 8 Yang FS, Lu YD, Wu CT, Blevins K, Lee MS, Kuo FC. Mechanical failure of articulating polymethylmethacrylate (PMMA) spacers in two-stage revision hip arthroplasty: the risk factors and the impact on interim function. BMC Musculoskelet Disord 2019; 20 (01) 372
- 9 Regis D, Sandri A, Magnan B, Bartolozzi P. Six-year follow-up of a preformed spacer for the management of chronically infected total hip arthroplasty. Arch Orthop Trauma Surg 2010; 130 (09) 1111-1115
- 10 Luk MH, Ng FY, Fu H, Chan PK, Yan CH, Chiu KY. Retention of prosthetic articulating spacer after infected hip arthroplasty as a semipermanent implant: A case report. J Orthop Trauma Rehabil 2019; 26 (02) 105-107
- 11 Choi H-R, Freiberg AA, Malchau H, Rubash HE, Kwon Y-M. The fate of unplanned retention of prosthetic articulating spacers for infected total hip and total knee arthroplasty. J Arthroplasty 2014; 29 (04) 690-693