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THE USE OF THE BIOMET FEMORAL SPACER IN STAGED REVISION FOR INFECTION OF THE TOTAL HIP ARTHROPLASTY



Abstract

Successful treatment of the infected arthroplasty remains a major concern to the revision surgeon. We aim to present our audit of the use of the Biomet Femoral Spacer in staged revision of the infected total hip arthroplasty.

Following removal and thorough debridement of the infected joint the spacer is created using the Biomet mould and the surgeon’s choice of cement with additional antibiotics.

Custom moulding allows for the incorporation of intramedullary devices to stabilize periprosthetic fractures.

The patient is then able to mobilize non weight bearing on the spacer until infectious parameters return to normal, before the second stage is attempted.

In our series fifty cases have been identified. Two dislocations, two prosthesis fractures and three repeat second stages are noted. Examples will be presented.

We believe the Biomet Femoral Spacer has a definite role in the management of this difficult problem.

Theses abstracts were prepared by Mr Peter Kay. Correspondence should be address to him at The Hip Centre, Wrightington Hospital, Appley Bridge, Wigan, Lancashire WN6 9EP.