Management of periprosthetic joint infection after total hip arthroplasty using a Custom Made Articulating Spacer (CUMARS); the exeter experience

Tsung, Jason D., Rohrsheim, James A.L., Whitehouse, Sarah L., Wilson, Matthew J., & Howell, Jonathan R. (2014) Management of periprosthetic joint infection after total hip arthroplasty using a Custom Made Articulating Spacer (CUMARS); the exeter experience. The Journal of Arthroplasty, 29(9), pp. 1813-1818.

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Abstract

Periprosthetic joint infection (PJI) after THA is a major complication with an incidence of 1-3%. We report our experiences with a technique using a custom-made articulating spacer (CUMARS) at the first of two-stage treatment for PJI. This technique uses widely available all-polyethylene acetabular components and the Exeter Universal stem, fixed using antibiotic loaded acrylic cement. Seventy-six hips were treated for PJI using this technique. Performed as the first of a two-stage procedure, good functional results were commonly seen, leading to postponing second stage indefinitely with retention of the CUMARS prosthesis in 34 patients. The CUMARS technique presents an alternative to conventional spacers, using readily available components that are well tolerated, allowing weight bearing and mobility, and achieving comparable eradication rates.

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6 citations in Scopus
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3 citations in Web of Science®

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ID Code: 72182
Item Type: Journal Article
Refereed: Yes
Keywords: infection, CUMARS, kiwi hip, prosthetic joint infection, cemented stem, cemented all poly cup, revision
DOI: 10.1016/j.arth.2014.04.013
ISSN: 0883-5403
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > CLINICAL SCIENCES (110300) > Orthopaedics (110314)
Divisions: Current > Schools > School of Chemistry, Physics & Mechanical Engineering
Current > Institutes > Institute of Health and Biomedical Innovation
Current > QUT Faculties and Divisions > Science & Engineering Faculty
Copyright Owner: Copyright 2014 Elsevier
Copyright Statement: This is the author’s version of a work that was accepted for publication in The Journal of Arthroplasty. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in The Journal of Arthroplasty, VOL 29, ISSUE 9 (2014) DOI: 10.1016/j.arth.2014.04.013
Deposited On: 28 May 2014 23:05
Last Modified: 01 Oct 2015 14:28

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