Biarticular total femur spacer for massive femoral bone loss: the mobile solution for a big problem.
Arthroplast Today
; 4(1): 58-64, 2018 Mar.
Article
en En
| MEDLINE
| ID: mdl-29560397
ABSTRACT
Bone cement spacers loaded with antibiotic are the gold standard in septic revision. However, the management of massive bone defects constitutes a surgical challenge, requiring the use of different nails, expensive long stems, or cement-coated tumor prostheses for preparing the spacer. In most cases, the knee joint must be sacrificed. We describe a novel technique for preparing a biarticular total femur spacer with the help of a trochanteric nail coated with antibiotic loaded cement, allowing mobility of the hip and knee joints and assisted partial loading until second step surgery. This technique is helpful to maintain the length of the leg, prevent soft tissue contracture, and help eradicate the infection preserving the patient comfort and autonomy while waiting to receive total femoral replacement.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Idioma:
En
Revista:
Arthroplast Today
Año:
2018
Tipo del documento:
Article
País de afiliación:
España