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Long Cephalomedullary Nails Can Be a Cheap and Effective Interval Revision Prosthesis in Infected Hip Replacements That Require Proximal Femoral Replacement: A Small Case Series.
Ramasamy, Boopalan; Hammat, Aaron Scott; Nelson, Renjy; Callary, Stuart Adam; Chan, Ping Keung; Solomon, Lucian Bogdan.
Afiliación
  • Ramasamy B; Department of Orthopaedics and Trauma, Royal Adelaide Hospital, Adelaide, South Australia, Australia.
  • Hammat AS; Centre for Orthopaedic and Trauma Research, The University of Adelaide, Adelaide, South Australia, Australia.
  • Nelson R; Centre for Orthopaedic and Trauma Research, The University of Adelaide, Adelaide, South Australia, Australia.
  • Callary SA; Department of Infectious Diseases, Royal Adelaide Hospital, Adelaide, South Australia, Australia.
  • Chan PK; Faculty of Health and Medical Sciences, University of Adelaide, Adelaide, South Australia, Australia.
  • Solomon LB; Department of Orthopaedics and Trauma, Royal Adelaide Hospital, Adelaide, South Australia, Australia.
Arthroplast Today ; 23: 101218, 2023 Oct.
Article en En | MEDLINE | ID: mdl-37841451
Hip prosthetic joint infection management is complex and expensive, especially in severe bone loss. Reducing the price of interval prosthesis when performing staged revision could minimize costs without compromising outcomes. We present 2 similar techniques developed independently that use an antibiotic-coated cephalomedullary nail with a total hip arthroplasty bearing (head and cemented acetabular component) attached to it as an interval proximal femoral replacement prosthesis. Using this technique, the femoral implant cost was reduced up to 10-fold. All patients have recovered well with resolution of infection and functional recovery similar to patients undergoing proximal femoral replacement. In one case, the lag screw (femoral neck) fractured at 5 months prompting the second-stage revision. This complication should be considered when deciding the timing of second-stage revisions in these cases.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Arthroplast Today Año: 2023 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Arthroplast Today Año: 2023 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Estados Unidos