Abstract

118 patients with infected total hip arthroplasty were treated with two-stage revision, using a preformed antibiotic-loaded cement spacer and a cementless modular hip revision prosthesis. At a minimum follow-up of 2 years (maximum 9 years), 106 patients did not show any clinical or laboratory sign of infection recurrence, 4 (3.6%) had infection recurrence while 8 are lost to follow-up. Survival after 9 years is 91.2% and 87.7% considering as end points infection recurrence or all reasons for revision, respectively. Preformed antibiotic spacers and non-cemented hip revision prostheses appear an effective solution for infected total hip prosthesis.

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