Copyright
©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Dec 18, 2020; 11(12): 595-605
Published online Dec 18, 2020. doi: 10.5312/wjo.v11.i12.595
Published online Dec 18, 2020. doi: 10.5312/wjo.v11.i12.595
Improved patient reported outcomes with functional articulating spacers in two-stage revision of the infected hip
Ewout S Veltman, Department of Orthopaedic and Trauma Surgery, OLVG, Amsterdam 1091AC, Netherlands
Dirk Jan F Moojen, Orthopaedic and Trauma Surgery, OLVG, Amsterdam 1091AC, Netherlands
Rudolf W Poolman, Department of Orthopaedic Surgery and Joint Research, OLVG, Amsterdam 1091AC, Netherlands
Author contributions: Veltman ES, Moojen DJF and Poolman RW were responsible for the design of the study and drafting and/or revising the manuscript. Data selection and statistical analysis were performed by Veltman ES.
Institutional review board statement: This study was approved by the local medical ethics committee with reference number 15.080.
Conflict-of-interest statement: The authors have no conflict of interest to mention.
Data sharing statement: No additional data are available.
STROBE statement: The STROBE statement was adhered to while constructing the study and writing the manuscript.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ewout S Veltman, MD, Doctor, Department of Orthopaedic and Trauma Surgery, OLVG, Oosterpark 9, Amsterdam 1091AC, Netherlands. wout.veltman@gmail.com
Received: April 11, 2020
Peer-review started: April 11, 2020
First decision: September 24, 2020
Revised: October 9, 2020
Accepted: October 26, 2020
Article in press: October 26, 2020
Published online: December 18, 2020
Peer-review started: April 11, 2020
First decision: September 24, 2020
Revised: October 9, 2020
Accepted: October 26, 2020
Article in press: October 26, 2020
Published online: December 18, 2020
Core Tip
Core Tip: Two-stage revision arthroplasty with an antibiotic-loaded spacer is the treatment of choice in chronically infected total hip arthroplasties. The functional results of these spacers have scarcely been reported. We retrospectively compared all patients treated with two-stage revision arthroplasty of the hip with a functional articulating or prefabricated spacer between 2003 and 2016. We used 15 functional articulating spacers and 55 prefabricated spacers. Patient reported outcome was significantly better for the functional articulating spacer group, while a similar infection eradication rate was achieved.