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Titanium-copper-nitride coated spacers for two-stage revision of infected total hip endoprostheses

Author(s): Ellenrieder, Martin | Haenle, Maximilian | Lenz, Robert | Bader, Rainer | Mittelmeier, Wolfram

Journal: GMS Krankenhaushygiene Interdisziplinär
ISSN 1863-5245

Volume: 6;
Issue: 1;
Start page: Doc16;
Date: 2011;
Original page

Keywords: total hip arthroplasty | infection | spacer | titanium-copper-nitride coating

Within the first two years after total hip arthroplasty implant-associated infection has become the second most common reason for a revision surgery. Two-stage implant exchange is frequently conducted using temporary spacers made of antibiotic-loaded cement in order to prevent a bacterial colonization on the spacer. Avoiding several disadvantages of cement spacers, a conventional hemi-endoprosthesis was equipped with a copper-containing implant coating for inhibition of bacterial biofilms. In the present paper details of this novel treatment concept are presented including a case report.
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