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Temporary cement tectoplasty: a technique to improve prefabricated hip spacer stability in two-stage surgery for infected hip arthroplasty

  • Hip Arthroplasty
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Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

This technical note describes an intraoperatively custom-made, antibiotic-loaded bone cement roof, used in conjunction with a prefabricated hip spacer to improve component stability, as part of the first stage of a two-stage procedure for an infected hip implant. This technique was successfully used in seven cases who presented with extensive superior and/or posterio-superior acetabular defect, which created a risk of spacer dislocation. With this technique we were able to avoid any further dislocation in these seven cases. We believe that the technique may reduce postoperative spacer dislocation in cases with extensive acetabular defects, while improving clinical outcomes.

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Acknowledgments

We thank Russ Williams from Roundly Worded for his editorial recommendations and Nuria Guitart Garcia for his bibliographic support.

Conflict of interest

The authors declare that there is no conflict of interest.

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Authors and Affiliations

  1. Reconstruction and Septic Division, Department of Orthopedic Surgery, Hospital Universitario Vall d′Hebron, Barcelona, 08035, Spain

    X. Flores, P. S. Corona, J. Cortina, E. Guerra & C. Amat

  2. Department of Orthopedic Surgery, Hospital de Traumatología y Rehabilitación Vall d′Hebron, Passeig Vall d′Hebron 119-129, 08035, Barcelona, Spain

    P. S. Corona

Authors
  1. X. Flores
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  2. P. S. Corona
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  3. J. Cortina
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  4. E. Guerra
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  5. C. Amat
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Corresponding author

Correspondence to P. S. Corona.

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Flores, X., Corona, P.S., Cortina, J. et al. Temporary cement tectoplasty: a technique to improve prefabricated hip spacer stability in two-stage surgery for infected hip arthroplasty. Arch Orthop Trauma Surg 132, 719–724 (2012). https://doi.org/10.1007/s00402-012-1461-3

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  • DOI: https://doi.org/10.1007/s00402-012-1461-3

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