Bone cement and cementation technique, antibiotics and bone cement spacers: what should you know?

Giovanni Calonego

Abstract


Analyzed cementing technique and implant design . It is shown that scientific and technological progress in the industry enables us to obtain 97% survival rate of implants 10 years after surgery. According to recent reports , infectious complications in 20% of cases the cause of revision cases . Using acrylic cement saturated antibiotics reduces the risk of infectious complications. Cement spacers allow to obtain a positive result in the case of chronic infection.

Keywords


arthroplasty; cementing technique; antibiotics

Full Text:

PDF

References


Baleani M. The mechanical behaviour of a preformed hip spacer / M. Baleani, F. Traina, A. Toni // Hip International. — 2003. — Vol. 13. — P. 159–162.

Effect of a centralizing device on cement mantle deficiencies and initial prosthetic alignment in total hip arthroplasty / R. A. Berger, M. J. Seel, K. Wood et al. // J. Arthroplasty. — 1997. — Vol. 12 (4). — P. 434–443.

Release of gentamicin and vancomycin from temporary human hip spacers in two-stage revision of infected arthroplasty / E. Bertazzoni Minelli, A. Benini, B. Magnan, P. Bartolozzi // J. Antimicrob. Chemother. — 2004. — Vol. 53 (2). — P. 329–334.

The epidemiology of revision total knee arthroplasty in the United States / K. J. Bozic, S. M. Kurtz, E. Lau et al. // Clin. Orthop. Relat. Res. — 2010. — Vol. 468 (1). — P. 45–51.

Breusch S. The Well-Cemented Total Hip Arthroplasty. Theory and practice / S. Breusch, H. Malchau. — Springer Medizin Verlag Heidelberg, 2005. — 378 p.

Management of deep infection of total hip replacement / H. W. Buchholz, R. A. Elson, E. Engelbrecht et al. // J. Bone Joint Surg. — 1981. — Vol. 63-B (3). — P. 342–353.

Charnley J. The long-term results of low-friction arthroplasty of the hip performed as a primary intervention / J. Charnley // J. Bone Joint Surg. — 1972. — Vol. 54-B (1). — P. 61–76.

Coffey M. J. Treatment of glenohumeral sepsis with a commercially produced antibiotic-impregnated cement spacer / M. J. Coffey, E. E. Ely, L. A. Crosby // J. Shoulder Elbow Surg. — 2010. — Vol. 19 (6). — P. 868–873.

Less wear with aluminium-oxide heads than cobalt-chrome heads with ultra-high molecular weight cemented polyethylene cups: a ten-year follow-up with radiostereometry / J. Dahl, P. Söderlund, B. Nivbrant et al. // Int. Orthop. — 2012. — Vol. 36 (3). — P. 485–490.

The use of a preformed spacer in two-stage revision of infected hip arthroplasties / F. D’Angelo, L. Negri, T. Binda et al. // Musculoskelet. Surg. — 2011. — Vol. 95 (2). — P. 115–120.

Does a prefabricated gentamicin-impregnated, load-bearing spacer control periprosthetic hip infection? / R. M. Degen, J. R. Davey, J. R. Davey et al. // Clin. Orthop. Relat. Res. — 2012. — Vol. 470 (10). — P. 2724–2729.

England, Wales & Northern Ireland National Joint Registry [electronic resource] — http://www-new.njrcentre.org.uk/njrcentre/Default.aspx.

Antibiotic prophylaxis in total hip arthroplasty. Review of 10,905 primary cemented total hip replacements reported to the Norwegian arthroplasty register, 1987 to 1995 / B. Espehaug, L. B. Engesaeter, S. E. Vollset et al. // J. Bone Joint Surg. — 1997. — Vol. 79-B (4). — P. 590–595.

Radiological evaluation of acetabular erosion after antibiotic-impregnated polymethylmethacrylate spacer (Spacer-G) / E. García-Oltra, G. Bori, X. Tomas et al. // J. Arthroplasty. — 2013. — Vol. 28 (6). — P. 1021–1024.

Two-stage revision of hip prosthesis infection using a hip spacer with stabilising proximal cementation / S. Gil Gonzalez, F. MarquésLópez, P. Rigol Ramon et al. // Hip Int. — 2010. — Vol. 20 (Suppl. 7). — P. S128–S134.

A prospective randomized radiostereometric analysis trial of SmartSet HV and Palacos R bone cements in primary total hip arthroplasty / O. S. Husby, K. Haugan, P. Benum, O. A. Foss // J. Orthop. Traumatol. — 2010. — Vol. 11 (1). — Р. 29–35.

Joseph T. N. Use of antibiotic-impregnated cement in total joint arthroplasty / T. N. Joseph, A. L. Chen, P. E. Di Cesare // J. Am. Acad. Orthop. Surg. — 2003. — Vol. 11 (1). — Р. 38–47.

Complications after spacer implantation in the treatment of hip joint infections / J. Jung, N. V. Schmid, J. Kelm et al. // Int. J. Med. Sci. — 2009. — Vol. 6 (5). — Р. 265–273.

Increased metal release from cemented femoral components made of titanium alloy. 19 hip prostheses followed with radiostereometry (RSA) / J. Kärrholm, W. Frech, K. G. Nilsson, F. Snorrason // Acta Orthop Scand. — 1994. — Vol. 65 (6). — Р. 599–604.

Prosthetic joint infection risk after TKA in the Medicare population / S. M. Kurtz, K. L. Ong, E. Lau et al. // Clin. Orthop. Relat. Res. — 2010. — Vol. 468 (1). — Р. 52–56.

Gait analysis in patients with a preformed articulated knee spacer / N. Logoluso, C. Champlon, G. Melegati et al. // Knee. — 2012. — Vol. 19 (4). — Р. 370–372.

Vacuum-mixing significantly changes antibiotic elution characteristics of commercially available antibiotic-impregnated bone cements / J. Meyer, G. Piller, C. A. Spiegel et al. // J. Bone Joint. Surg. Am. — 2011. — Vol. 93 (22). Р. 2049–2056.

Millennium Group Survey, 2011 — Global market for Large Joint Reconstruction.

In vitro release of antibiotics from commercial PMMA beads and articulating hip spacers / D. J. Moojen, B. Hentenaar, H. Charles Vogely et al. // J. Arthroplasty. — 2008. — Vol. 23 (8). — Р. 1152–1156.

Measurements of in vivo intra-articular gentamicin levels from antibiotic loaded articulating spacers in revision total knee replacement / J. Mutimer, G. Gillespie, A. M. Lovering, A. J. Porteous // Knee. — 2009. — Vol. 16 (1). — Р. 39–41.

Two-stage cementless revision of late total hip arthroplasty infection using a premanufactured spacer / D. R. Neumann, T. Hofstaedter, C. List, U. Dorn // J. Arthroplasty. — 2012. — Vol. 27 (7). — Р. 1397–1401.

Bone cement with reduced proportion of monomer in total hip arthroplasty: preclinical evaluation and randomized study of 47 cases with 5 years’ follow-up / B. Nivbrant, J. Kärrholm, S. Röhrl et al. // Acta Orthop. Scand. — 2001. — Vol. 72 (6). — Р. 572–584.

Norwegian Arthroplasty Register http://nrlweb.ihelse.net/eng/default.htm.

Prosthetic joint infection risk after total hip arthroplasty in the Medicare population / K. L. Ong, S. M. Kurtz, E. Lau et al. // J. Arthroplasty. — 2009. — Vol. 24 (Suppl 6). — Р. 105–109.

Preformed gentamicin spacers in two-stage revision hip arthroplasty: functional results and complications / C. Pattyn, T. De Geest, P. Ackerman, E. Audenaert // Int. Orthop. — 2011. — Vol. 35 (10). — Р. 1471–1476.

Pre-formed articulating knee spacer in two-stage revision for the infected total knee arthroplasty / R. P. Pitto, C. C. Castelli, R. Ferrari, J. Munro // Int. Orthop. — 2005. — Vol. 29 (5). — Р. 305–308.

Pitto R P. CEMEX®GENTA bone cement in total hip arthroplasty. Clinical outcome and Radiostereoanalysis of 25 hips with 2-year follow-up / R. P. Pitto, R. Schmidt // Clinical Report. — 2003.

Pitto R. P. CEMEX®SYSTEM GENTA bone cement in total hip arthroplasty. Clinical outcome and Radiostereoanalysis. A 5-year follow-up / R. P. Pitto // Clinical Report. — 2007.

Does cyclical loading affect the elution of antibiotics from articulating cement knee spacers? / B. A. Rogers, F. R. Middleton, N. Shearwood-Porter et al. // J. Bone Joint. Surg. Br. — 2011. — Vol. 93 (7). — Р. 914–920.

Analysis of the gait in patients with hip spacers / C. L. Romanò, M. Ferrarin, M. Rabbuffetti et al. // Infection and local treatment in orthopedic surgery / E. Meani, C. Romanò, L. Crosby, G. Hoffman. — Springer-Verlag, February, 2007. — 587 p.

Preformed antibiotic-loaded cement spacers for two-stage revision of infected total hip arthroplasty. Long-term results / C. L. Romanò, D. Romanò, A. Albisetti, E. Meani // Hip Int. — 2012. — Vol. 22 (Suppl 8) — Р. S46–S53.

Two-stage revision surgery with preformed spacers and cementless implants for septic hip arthritis: a prospective, non-randomized cohort study / C. L. Romanò, D. Romanò, E. Meani et al. // BMC Infect Dis. — 2011. — Vol. 11. — Р. 129.

Scheerlinck T. The design features of cemented femoral hip implants / T. Scheerlinck, P. P. Casteleyn // J. Bone Joint. Surg. Br. — 2006. — Vol. 88 (11). — Р. 1409–1418.

10-year results of a new low-monomer cement: follow-up of a randomized RSA study / P. Söderlund, J. Dahl, S. Röhrl et al. // Acta. Orthop. — 2012. — Vol. 83 (6). — Р. 604–608.

Premixed antibiotic bone cement: an in vitro comparison of antimicrobial efficacy / M. W. Squire, B. J. Ludwig, J. R. Thompson et al. // J. Arthroplasty. — 2008. — Vol. 23 (Suppl 1). — Р. 110–114.

Swedish Hip Arthroplasty Register http://www.shpr.se/en/default.aspx.

Surface roughness, porosity and wettability of gentamicin-loaded bone cements and their antibiotic release / H. van de Belt, D. Neut, D. R. Uges et al. // Biomaterials. — 2000. — Vol. 21 (19). — Р. 1981–1987.

Villa T. Experimental evaluation of the biomechanical performances of a PMMA-based knee spacer / T. Villa, D. Carnelli // Knee. — 2007. — Vol. 14 (2). — Р. 145–153

Preformed articulating knee spacers in 2-stage total knee revision arthroplasty: minimum 2-year follow-up / Z. Wan, A. Karim, A. Momaya et al. // J. Arthroplasty. — 2012. — Vol. 27 (8). — Р. 1469–1473.




DOI: https://doi.org/10.15674/0030-59872013487-92

Refbacks

  • There are currently no refbacks.


Copyright (c) 2014 Giovanni Calonego

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.