Antibiotic impregnated total femur spacers: a technical tip

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Abstract

Simultaneous prosthetic joint infection of ipsilateral hip and knee arthroplasties is often accompanied by significant bone loss and presents a challenging reconstructive problem. Two-stage reconstruction is favored and requires the placement of a total femur spacer, which is not a commercially available device. We describe a surgical technique, reporting on 2 cases in which a customized total femur antibiotic impregnated spacer was created by combining an articulating knee spacer and an articulating hip spacer with a reinforced cement dowel construct connecting the 2 spacers. Custom total femoral spacers are useful in the management of infected femoral megaprostheses and cases with ipsilateral injected hip and knee arthroplasties and severe femoral bone loss.

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Canham, C. D., Walsh, C. P., & Incavo, S. J. (2018). Antibiotic impregnated total femur spacers: a technical tip. Arthroplasty Today, 4(1), 65–70. https://doi.org/10.1016/j.artd.2017.06.001

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