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The use of interlocking prostheses for both temporary and definitive management of infected periprosthetic femoral fractures.

Konan, S; Rayan, F; Manketelow, AR; Haddad, FS; (2011) The use of interlocking prostheses for both temporary and definitive management of infected periprosthetic femoral fractures. J Arthroplasty , 26 (8) 1332 - 1337. 10.1016/j.arth.2010.11.021.

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Abstract

Infected periprosthetic fractures around total hip arthroplasties are an extremely challenging problem. We describe our experience of managing infected periprosthetic femoral fractures using interlocking long-stem femoral prostheses either as temporary functional spacers or as definitive implants. The Cannulock (Orthodesign, Christchurch, United Kingdom) uncoated stem was used in 12 cases, and the Kent hip prosthesis (Biomet Merck, Bridgend, United Kingdom), in 5 cases. Satisfactory outcome was noted in all cases, and in 11 cases, revision to a definitive stem has been undertaken after successful control of infection and fracture union. The use of interlocking stems offers a relatively appealing solution for a complex problem and avoids the complications that would be associated with resection of the entire femur or the use of large quantities of bone cement.

Type:Article
Title:The use of interlocking prostheses for both temporary and definitive management of infected periprosthetic femoral fractures.
Location:United States
DOI:10.1016/j.arth.2010.11.021
Language:English
Keywords:Aged, Aged, 80 and over, Anti-Bacterial Agents, Arthroplasty, Replacement, Hip, Blood Sedimentation, C-Reactive Protein, Combined Modality Therapy, Femoral Fractures, Fracture Healing, Hip Joint, Hip Prosthesis, Humans, Middle Aged, Periprosthetic Fractures, Prosthesis Design, Prosthesis-Related Infections, Reoperation, Retrospective Studies, Treatment Outcome
UCL classification:UCL > School of Life and Medical Sciences > Faculty of Medical Sciences > Surgery and Interventional Science (Division of)

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