Division of Lower Limb Reconstruction & Oncology, Vancouver General Hospital, Vancouver, British Columbia V5Z 1M9, Canada; Department of Orthopaedics, University of British Columbia, Vancouver, British Columbia V6T 1Z4, Canada.
Division of Lower Limb Reconstruction & Oncology, Vancouver General Hospital, Vancouver, British Columbia V5Z 1M9, Canada; Department of Orthopaedics, University of British Columbia, Vancouver, British Columbia V6T 1Z4, Canada.
Orthop Clin North Am. 2024 Apr;55(2):181-192. doi: 10.1016/j.ocl.2023.06.002. Epub 2023 Aug 1.
Although one-stage exchange arthroplasty is gaining popularity, two-stage exchange arthroplasty remains the gold standard for the treatment of periprosthetic joint infections. Use of an articulating spacer for this procedure offers an avenue for maintaining hip motion and controlled weight-bearing, allowing local antibiotic elution. However, there is no uniform consensus on the optimal surgical protocol for using articulating spacers. This review describes the surgical technique for undertaking a first-stage exchange arthroplasty using an articulating spacer and discusses the pertinent literature on key concepts relating to periprosthetic joint infections in total hip arthroplasty to guide effective surgical decision making in these patients.
虽然一期关节置换术越来越受欢迎，但二期关节置换术仍然是治疗假体周围关节感染的金标准。在该手术中使用活动间隔物为保持髋关节运动和控制负重提供了途径，并允许局部抗生素洗脱。然而，对于使用活动间隔物的最佳手术方案尚未达成统一共识。本综述描述了使用活动间隔物进行一期关节置换术的手术技术，并讨论了与全髋关节置换术假体周围关节感染相关的关键概念的相关文献，以指导这些患者的有效手术决策。
