International Journal of Medical Sciences

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22 October 2017

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Int J Med Sci 2009; 6(5):274-279. doi:10.7150/ijms.6.274

Review

Mechanical complications and reconstruction strategies at the site of hip spacer implantation

Konstantinos Anagnostakos1 ✉, Jochen Jung1, Nora Verena Schmid1, Eduard Schmitt1, Jens Kelm1,2

1. Klinik für Orthopädie und Orthopädische Chirurgie, Universitätskliniken des Saarlandes, Homburg/Saar, Germany
2. Chirurgisch-Orthopädisches Zentrum Illingen/Saar, Germany

Abstract

Over the past two decades antibiotic-impregnated hip spacers have become a popular procedure in the treatment of hip joint infections. Besides infection persistence and/or reinfection, major complications after hip spacer implantation include spacer fracture, -dislocation, and bone fracture. Moreover, in cases with extensive loss of femoral and/or acetabular bone alternative reconstructive techniques should be used for a stable spacer fixation and prevention of fractures or dislocations. The present article reviews the different types of spacer fractures and dislocations and offers some suggestions about reconstructive techniques for management of extensive loss of femoral and/or acetabular bone at the site of hip spacer implantation.

Keywords: hip spacers, spacer fracture, spacer dislocation, femoral fracture, reconstruction.

This is an open access article distributed under the terms of the Creative Commons Attribution (CC BY-NC) License. See http://ivyspring.com/terms for full terms and conditions.
How to cite this article:
Anagnostakos K, Jung J, Schmid NV, Schmitt E, Kelm J. Mechanical complications and reconstruction strategies at the site of hip spacer implantation. Int J Med Sci 2009; 6(5):274-279. doi:10.7150/ijms.6.274. Available from http://www.medsci.org/v06p0274.htm