Use of Spacers for the Treatment of Deep Periprosthetic Infection of Hip and Knee Joints


Experience in treatment of 27 patients with deep periprosthetic infection is presented. In 17 patients infectious process was localized in the zone of hip implant, in 10 patients — in the zone of knee implant. Sanitation without implant removal was performed in 2 cases of early deep infection. Two-step revision arthroplasty was performed in 25 patients with late deep infection. First the implant was removed and spacer was inserted, then spacer was changed for a revision implant. In 12 patients individual articulating spacers with antibiotics were used. No relapse was noted in 23 patients at terms up to 58 months. Thus, two-step revision arthroplasty with application of spacers showed its high efficacy in treatment of patients with late deep periprosthetic infection.

Full Text

Применение спейсеров для лечения глубокой перипротезной инфекции тазобедренного и коленного суставов


  1. кафедры травматологии, ортопедии и хирургии катастроф Первого МГМУ
  2. Meehan J., Jamali A.A., Nguyen H. Prophylactic antibiotics in hip and knee arthroplasty. J. Bone Joint Surg. Am. 2009; 91 (10): 2480-90.
  3. Parvizi J., Adeli B., Zmistowski B., Restrepo C., Greenwald A.S. Management of periprosthetic joint infection: the current knowledge. AAOS exhibit selection. J. Bone Joint Surg. Am. 2012; 94: e104 (1-9).
  4. Bauer T.W., Parvizi J., Kobayashi N., Krebs V. Diagnosis of periprosthetic infection. J. Bone Joint Surg. Am. 2006; 88 (4): 869-82.
  5. Callaghan J.J., Katz R.P., Johnston R.C. One-stage revision surgery of the infected hip. A minimum 10- year follow-up study. Clin. Orthop. Relat. Res. 1999; (369): 139-43.
  6. Winkler H, Stoiber A, Kaudela K, Winter F., Menschik F. One stage uncemented revision of infected total hip replacement using cancellous allograft bone impregnated with antibiotics. J. Bone Joint Surg. Br. 2008; 90 (12): 1580-4.
  7. Сикилинда В.Д., Макляков Ю.С., Пузанова А.Е. Алгоритм ведения больных после нагноения с ревизионным эндопротезированием тазобедренного сустава. Хирургия тазобедренного сустава. 2012; 1: 114-22.
  8. Hsieh P.H., Shih C.H., Chang Y.H., Lee M.S., Shih H.N., Yang W.E. Two-stage revision hip arthroplasty for infection: comparison between the interim use of antibiotic-loaded cement beads and a spacer prosthesis. J. Bone Joint Surg. Am. 2004; 86 (9): 1989-97.
  9. Younger A.S.E., Duncan C.P., Masri B.A. Treatment of infection with segmental bone loss in the proximal part of the femur in two stages with use of antibiotic-loaded interval prosthesis. J. Bone Joint Surg. Am. 1998; 80 (1): 60-9.
  10. Greidanus N.V., Masri B.A., Garbuz D.S., Wilson S.D., McAlinden M.G., Xu M., Duncan C.P. Use of erythrocyte sedimentation rate and C-reactive protein level to diagnose infection before revision total knee arthroplasty. A prospective evaluation. J. Bone Joint Surg. Am. 2007; 89 (7): 1409-16.
  11. Дедков А.Г. Лечение инфекционных осложнений после эндопротезирования суставов у пациентов с онкологическими заболеваниями суставов и костей. Кшшчна хiрургiя. 2010; 10: 40-4.
  12. Божкова С.А. Современные принципы диагностики и антибактериальной терапии инфекции протезированных суставов (обзор литературы). Травматология и ортопедия России. 2011; 3 (61): 126-36.



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