Cement Augmentation of the Acetabulum for Revision Total Hip Arthroplasty for Infection

Rogers, Benedict A.; Kuchinad, Raul A.; Garbedian, Shawn; Backstein, David; Gross, Allan E.; Safir, Oleg

doi:10.1016/j.arth.2014.01.017

Cited by 14 publications

(8 citation statements)

References 4 publications

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“…They also noted that it is easy to construct during the first stage and easy to remove during the second stage. Rogers et al [ 18 ] used cancellous screws and cement to treat 15 PJI patients, although these patients had supra-acetabular bone loss, they found utilizing screws and cement could improve acetabular coverage and reduce the risk of mechanical failure. Baker et al [ 16 ] presented a technique with cancellous screws fixed in the supra-acetabular bone combined with cement and a polyethylene liner, creating a cement spacer in the setting of supra-acetabular osteolysis.…”

Section: Discussionmentioning

confidence: 99%

The results of screw augmentation of acetabular cement spacers for the treatment of periprosthetic hip joint infection

et al. 2020

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Introduction Prosthesis of antibiotic-loaded acrylic cement (PROSTALAC) is widely used in two-stage revision arthroplasty in periprosthetic joint infection (PJI) after total hip arthroplasty (THA). In our institution, we encountered several cases of acetabular cement spacer dislodgement. The aim of this study was to compare the results of two-stage revision arthroplasties with antibiotic-loaded cement spacers with or without screws on the acetabulum for PJI. Patients and methods This retrospective study included 44 patients who underwent a two-stage revision THA for PJI from June 2007 to May 2017. We divided the patients into two groups: group 1 consisted of 21 patients (21 hips) who underwent two-stage revision arthroplasty with screw augmentation, while group 2 consisted of 23 patients (23 hips) who underwent the same surgery without screw augmentation at the acetabular cement spacer. We compared the migration and dislodgement of the acetabular cement spacer between the two groups. Results Before the second-stage surgery, there was less vertical migration of the cement spacer in group 1 compared to group 2 (1.2 mm vs 3.1 mm, p < 0.001). There was also less medial migration of the cement spacer in group 1 (0.6 mm vs 1.6 mm, p = 0.001). After the first stage, the mean Harris Hip score was significantly higher in group 1 than in group 2 (75 vs 65, p = 0.033). Cement spacer rotation or total movement out of the acetabular area occurred in six patients, all in group 2. After first stage reinfection occurred in two patients, one in each group. Conclusions Screw augmentation to the acetabulum in the first-stage surgery provides better stability of acetabular antibiotic cement spacers without increasing reinfection rate.

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Section: Discussionmentioning

confidence: 99%

The results of screw augmentation of acetabular cement spacers for the treatment of periprosthetic hip joint infection

et al. 2020

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“…The combination of screws and cement is a well-documented technique frequently used in the setting of superior and posterolateral acetabular bone loss [4] , [5] , [6] . The role of the screws in the current technique was to support the cement construct and to prevent medial migration.…”

Section: Discussionmentioning

confidence: 99%

“…Rogers et al. [6] demonstrate another technique in which screws in the ileum and antibiotic cement in the posterolateral aspect of the acetabulum are used to add additional support. Dexler et al.…”

Section: Introductionmentioning

confidence: 99%

Antibiotic cement spacer for isolated medial wall acetabular deficiency in the setting of infected hip arthroplasty

et al. 2018

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Periprosthetic joint infections remain challenging for orthopaedic surgeons. These are typically treated with 2-stage revision with an antibiotic spacer and arthroplasty reimplantation after infection eradication. We report a novel technique to create an antibiotic cement spacer construct in the setting of significant acetabular medial wall destruction due to osteolysis and infection. The medial wall of the acetabulum was reconstructed using antibiotic cement with 2 screws acting as a rebar. An acetabular liner was then cemented into place forming a cement construct similar to a reconstruction cage in function. This technique created a firm acetabular construct that allowed for the placement of a stable articulating spacer. The spacer allowed for infection eradication and was successfully converted into a revision total hip arthroplasty.

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“…Different methods and surgical techniques have been described in literature for the fabrication of articulating spacers. Rogers et al (20) have illustrated a new surgical technique based on the fabrication of an acetabular augment fixed with three iliac screws. Several prefabricated articulating spacers are now available on the market.…”

Section: Discussionmentioning

confidence: 99%

Acetabular Spacers in 2-Stage Hip Revision: Is it Worth it? A Single-Centre Retrospective Study

Burastero¹,

Basso

Carrega³

et al. 2016

HIP International

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Cement Augmentation of the Acetabulum for Revision Total Hip Arthroplasty for Infection

Cited by 14 publications

References 4 publications

The results of screw augmentation of acetabular cement spacers for the treatment of periprosthetic hip joint infection

The results of screw augmentation of acetabular cement spacers for the treatment of periprosthetic hip joint infection

Antibiotic cement spacer for isolated medial wall acetabular deficiency in the setting of infected hip arthroplasty

Acetabular Spacers in 2-Stage Hip Revision: Is it Worth it? A Single-Centre Retrospective Study

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