What Do We (Not) Know About Antibiotic-loaded Hip Spacers?

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What Do We (Not) Know About Antibiotic-loaded Hip Spacers?

Konstantinos Anagnostakos, MD

• Orthopedics
• May 2014 - Volume 37 · Issue 5: 297-298
• DOI: 10.3928/01477447-20140430-03

The author is from the Department of Orthopaedic Surgery, Saarland University Medical Center, Homburg/Saar, Germany.

The author has no relevant financial relationships to disclose.

Correspondence should be addressed to: Konstantinos Anagnostakos, MD, Department of Orthopaedic Surgery, Saarland University Medical Center, Kirrberger Strasse 1, Bldg 37-38, D-66421 Homburg/Saar, Germany ( k.anagnostakos@web.de).

For the past 2 decades, the implantation of antibiotic-impregnated cement spacers has been an established method in the treatment of periprosthetic hip joint infections. Several advantages are attributed to this procedure, such as immediate treatment of the infection source by locally reaching high antibiotic levels, maintenance of joint mobility, limitation of scar formation, absence of soft tissue contraction (usually resulting in a leg length discrepancy), and facility for prosthesis reimplantation.¹

For the past 2 decades, the implantation of antibiotic-impregnated cement spacers has been an established method in the treatment of periprosthetic hip joint infections. Several advantages are attributed to this procedure, such as immediate treatment of the infection source by locally reaching high antibiotic levels, maintenance of joint mobility, limitation of scar formation, absence of soft tissue contraction (usually resulting in a leg length discrepancy), and facility for prosthesis reimplantation.¹