Revision of Cemented Total Hip Arthroplasty with Cementless Components in Three Dogs

Abstract

Failed canine-cemented total hip arthroplasties can be successfully revised with cementless components.

Biomechanical evaluation of polymethyl methacrylate with the addition of various doses of cefazolin, vancomycin, gentamicin, and silver microparticles

“…The use of PMMA bone cement as a vehicle for antibiotic delivery to the site of implant infection has been well documented (16,17). With antibiotic-resistant bacterial infections becoming more commonplace, increased attention has been given to the addition of various antibiotics, as well as the addition of silver particles, to PMMA bone cement (16)(17)(18)(19)(20)(21)(22). Antibioticladen bone cement is used in both the prevention and treatment of periprosthetic infections.…”

Management of an infected cementless cup with prosthetic retention and antibiotic therapy in a dog

“…Implant exchange procedures to address periprosthetic infection have been described in dogs, but are associated with significant morbidity (Massat & Vasseur , Dyce & Olmstead , Torres & Budsberg ). Several treatment options have been described in humans (Spangehl et al , Peel et al ); however, explantation remains the treatment recommendation in small animals (Tigges et al , Massat et al , Iwata et al , Allen ).…”

“…Implant exchange procedures to address periprosthetic infection have been described in dogs, but are associated with significant morbidity (Massat & Vasseur 1994, Dyce & Olmstead 2002, Torres & Budsberg 2009. Several treatment options have been described in humans (Spangehl et al 2003, Peel et al 2013);…”

“…Total hip replacement (THR) is a highly effective procedure for treating a variety of hip disorders in the dog (Forster et al ). Implant infection is regarded as a catastrophic complication that requires an excisional arthroplasty or a second joint replacement surgery (Massat et al , Dyce & Olmstead , Torres & Budsberg , Peck et al ). The prevalence of infection for cementless THR is reported to be 0 to 3 · 7% (Marcellin‐Little et al , Hummel et al , Forster et al ).…”

Measurement of Acetabular Component Position in Total Hip Arthroplasty in Dogs: Comparison of a Radio-Opaque Cup Position Assessment Device Using Fluoroscopy with CT Assessment and Direct Measurement

“…[4][5][6][7][8] Inappropriate acetabular component insertion angle (not following the reamed path) may result in incomplete acetabular component seating and a polar gap visible on postoperative radiographs, while acetabular component malpositioning may result in reduced impingement-free range of motion and may increase the risk of luxation. 5,[9][10][11][12] The ability to accurately, consistently and quantitatively assess acetabular component position has the potential to improve patient outcomes. Acetabular component position is evaluated by considering the three orthogonal planes (sagittal, dorsal and transverse).…”