Tài liệu Báo cáo y học: "Mechanical complications and reconstruction strategies at the site of hip spacer imp

Over the past two decades antibiotic-impregnated hip spacers have become a popular procedure in the treatment of hip joint infections with reported success rates of > 90 % [1]. Although initially developed for the management of infected total hip arthroplasties, hip spacers have been successfully used also in the treatment of bacterial coxitis or infections of the proximal femur after osteosynthesis [4]. The major advantages of a hip spacer implantation are: (i) immediate treatment of the infection source by locally reaching high antibiotic levels, (ii) maintance of joint mobility, (iii) limitation of scar formation, (iv) absence of soft tissue contraction (usually resulting to a leg length discrepancy) and (v) facility for reimplantation [1].