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The effect of endoskeleton on antibiotic impregnated cement spacer for treating deep hip infection

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Author(s): Peng Kuo-Ti | Kuo Liang-Tseng | Hsu Wei-Hsiu | Huang Tsan-Wen | Tsai Yao-Hung

Journal: BMC Musculoskeletal Disorders
ISSN 1471-2474

Volume: 12;
Issue: 1;
Start page: 10;
Date: 2011;
Original page

ABSTRACT
Abstract Backgrounds A two-stage revision arthroplasty was suggested optimal treatment for deep infections in hip joint. The effect of endoskeleton of cement spacers on the interim function and infection control remains unclear. Methods From Jan. 2004 to Dec. 2007, we collected a prospective cohort of consecutive 34 patients who treated with two-stage revision total hip arthroplasty for deep infection of hip joint. In group 1, fifteen patients were treated by a novel design augmented with hip compression screw while nineteen patients were treated by traditional design in group 2. Results No fracture of cement spacer occurred in group 1 while 6 cases developed spacer failure in group 2. (p < 0.05) There were significant differences in bodily pain and general health perception between groups (p < 0.05). Conclusions Patients being treated for deep infection of hip joint using cement spacer augmented with stronger endoskeleton have lower pain levels and better joint function between stages.
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