Antibiotic impregnated total femur spacers: a technical tip

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Presentation transcript:

Antibiotic impregnated total femur spacers: a technical tip Colin D. Canham, MD, Christopher P. Walsh, MD, Stephen J. Incavo, MD Arthroplasty Today Volume 4, Issue 1, Pages 65-70 (March 2018) DOI: 10.1016/j.artd.2017.06.001 Copyright © 2017 The Authors Terms and Conditions

Figure 1 Plastic mold used to create antibiotic cement dowels in total femur spacer fabrication. Arthroplasty Today 2018 4, 65-70DOI: (10.1016/j.artd.2017.06.001) Copyright © 2017 The Authors Terms and Conditions

Figure 2 Postoperative anteroposterior (AP) (a and b) and lateral (c) radiographs of a dual-articulating total femoral spacer implanted in patient 1. AP, anteroposterior. Arthroplasty Today 2018 4, 65-70DOI: (10.1016/j.artd.2017.06.001) Copyright © 2017 The Authors Terms and Conditions

Figure 3 (a) AP radiograph of case/patient 1, showing dislocated cemented hemiarthroplasty with severe associated femoral bone loss; (b) AP view of the same patient's ipsilateral knee with a static cement spacer in place. AP, anteroposterior. Arthroplasty Today 2018 4, 65-70DOI: (10.1016/j.artd.2017.06.001) Copyright © 2017 The Authors Terms and Conditions

Figure 4 Postoperative AP femur (a) and knee (b) radiographs of total femur arthroplasty following second-stage reimplantation surgery for patient 1. AP, anteroposterior. Arthroplasty Today 2018 4, 65-70DOI: (10.1016/j.artd.2017.06.001) Copyright © 2017 The Authors Terms and Conditions

Figure 5 AP radiographs of a hip (a), femur (b), and knee (c) demonstrating a loose distal femoral replacement arthroplasty with loss of a large segment of distal femur and considerable damage to the proximal femur. Arthroplasty Today 2018 4, 65-70DOI: (10.1016/j.artd.2017.06.001) Copyright © 2017 The Authors Terms and Conditions

Figure 6 AP radiographs of the hip (a), femur (b), and tibia (c) demonstrating a dual-articulating total femoral spacer implanted in case/patient 2. AP, anteroposterior. Arthroplasty Today 2018 4, 65-70DOI: (10.1016/j.artd.2017.06.001) Copyright © 2017 The Authors Terms and Conditions

Figure 7 Postoperative AP (a and b) and lateral (c) radiographs following second-stage reimplantation of the total femur arthroplasty in patient 2. AP, anteroposterior. Arthroplasty Today 2018 4, 65-70DOI: (10.1016/j.artd.2017.06.001) Copyright © 2017 The Authors Terms and Conditions