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    Management of periprosthetic joint infection after total hip arthroplasty using a custom made articulating spacer (CUMARS); the Exeter experience

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    URI
    http://hdl.handle.net/11287/593847
    Author
    Tsung, J. D.
    Rohrsheim, J. A.
    Whitehouse, S. L.
    Wilson, Matthew J.
    Howell, Jonathan R.
    Date
    2014-09-17
    Journal
    The Journal of arthroplasty
    Type
    Journal Article
    Publisher
    Elsevier
    DOI
    10.1016/j.arth.2014.04.013
    Metadata
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    Abstract
    Periprosthetic joint infection (PJI) after THA is a major complication with an incidence of 1%-3%. We report our experiences with a technique using a custom-made articulating spacer (CUMARS) at the first of two-stage treatment for PJI. This technique uses widely available all-polyethylene acetabular components and the Exeter Universal stem, fixed using antibiotic loaded acrylic cement. Seventy-six hips were treated for PJI using this technique. Performed as the first of a two-stage procedure, good functional results were commonly seen, leading to postponing second stage indefinitely with retention of the CUMARS prosthesis in 34 patients. The CUMARS technique presents an alternative to conventional spacers, using readily available components that are well tolerated, allowing weight bearing and mobility, and achieving comparable eradication rates.
    Citation
    J Arthroplasty. 2014 Sep;29(9):1813-8.
    Publisher URL
    http://linkinghub.elsevier.com/retrieve/pii/S0883-5403(14)00244-7
    Collections
    • 2014 RD&E publications
    • Exeter Hip Unit
    • Orthopaedics

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