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The Journal of Arthroplasty, ISSN: 0883-5403, Vol: 23, Issue: 5, Page: 781-786
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Custom Total Femur Spacer and Second-Stage Total Femur Arthroplasty as a Novel Approach to Infection and Periprosthetic Fracture
Sherman, Seth L; Cunneen, Kieran Phaeleau; Walcott-Sapp, Sarah; Brause, Barry; Westrich, Geoffrey HTotal femur arthroplasty procedures have previously been used after tumor excision and as a last resort for failed revision arthroplasty. The patient in this case presented with massive loss of femoral bone stock, a periprosthetic fracture, and recurrent Staphylococcus epidermidis infection. A specially designed total femoral spacer impregnated with antibiotics was created for a 2-stage revision procedure that successfully restored functional ability and eradicated the infection. Although 2-stage protocols with spacers have been used to treat persistent infections after hip and knee arthroplasty, this is the first reported instance of the creation of a total femur antibiotic-impregnated cement spacer and subsequent total femoral arthroplasty as a 2-stage protocol at our institution.
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