Abstract
It is quite challenging to use antibiotic-loaded hip spacers in the first stage of a two-stage revision hip arthroplasty in patients with infected hip arthroplasty with medial acetabular wall or proximal femoral defect. We describe a technique of an improvised hip spacer using a monopolar hip prosthesis, which is easily reproducible and provides a stable, mobile hip without any significant risk of intrapelvic migration of the spacer or compromise in the amount of antibiotics required. In addition, a long, custom-made monopolar hip prosthesis can also be successfully used as a hip spacer in patients with proximal femoral as well as medial acetabular wall bone defects.
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