SynthesisArchives of orthopaedic and trauma surgery2023
Mechanical complications of hip spacers: a systematic review of the literature.
Synthesis in Archives of orthopaedic and trauma surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
18 citing papers in PubMed, 22 citations in OpenAlex.
- One- vs. Two-Stage Exchange for Chronic Hip Periprosthetic Joint Infection: A Framework Based on Patient Treatment Burden and Institutional Capability.JBJS reviews · 2026Review
- Clinical and psychosocial impact of limited mobility during the interstage period of two-stage revision arthroplasty for prosthetic joint infection: a state-of-the-art review.Journal of orthopaedic surgery and research · 2026Review
- Radiographic assessment of femoral, acetabular and global offset following hip spacer implantation in staged total hip arthroplasty".Archives of orthopaedic and trauma surgery · 2026Article
- Revision of a Dislocated Articulating Antibiotic Hip Spacer as an Alternative to Girdlestone Arthroplasty: A Case Report.Journal of orthopaedic case reports · 2026Article
- Does spacer type influence bone lysis and clinical outcomes? A comparative analysis in two-stage revision for periprosthetic knee infection.BMC surgery · 2026Observational
- Radiographic parameters and mechanical complications of articulating vs. non-articulating hip spacers.Archives of orthopaedic and trauma surgery · 2026Article
- Clinical Feasibility and Mechanical Reliability of a Modified Functional Articulating Hip Spacer Incorporating a Cemented Dual Mobility Bearing Metal Liner.Journal of clinical medicine · 2026Article
- Reinfection and complication rates in two-stage revision for chronic hip periprosthetic joint infections using the direct anterior approach.Journal of bone and joint infection · 2026Article
- Impact of introducing custom-made articulating spacers: A retrospective cohort study on two protocols for two-stage hip revision.World journal of orthopedics · 2025Article
- The Influence of Antibiotic-Loaded Bone Cement Spacer Type on Outcomes of the First Stage of a Revision Total Hip Arthroplasty.Antibiotics (Basel, Switzerland) · 2025Article
- Does the Degree of Liner Constraint Increase Risk of Complications in Articulating Spacers in Two-stage Revision After THA?Clinical orthopaedics and related research · 2025Article
- Temporal Patterns and Treatment Associations in Complications Following Hip Arthroplasty.Diagnostics (Basel, Switzerland) · 2025Article
- The role of acetabular cement augmentation in 2-stage revision arthroplasty for prosthetic joint infection of the hip.Archives of orthopaedic and trauma surgery · 2024Article
- Cemented Constrained Liners Used as an Articulating Hip Spacer for the Treatment of Chronic Prosthetic Joint Infection.Arthroplasty today · 2024Article
- Investigation of mechanical behavior on the cement hip spacer geometry under finite element method and compression load test.Journal of orthopaedics · 2024Review
- Two-stage revision in periprosthetic joint infection of the hip using a new intraoperatively molded articulating spacer design.Journal of clinical orthopaedics and trauma · 2023Article
- Finite element analysis of the mechanical strength of a new hip Spacer.BMC musculoskeletal disorders · 2023Article
- Functional Outcome after Reimplantation in Patients Treated with and without an Antibiotic-Loaded Cement Spacers for Hip Prosthetic Joint Infections.Hip & pelvis · 2023Article
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionTemporary spacers used in the staged revision of a hip prosthetic joint infection (PJI) have been associated with several mechanical complications with very variable reported general complications rates up to 73%. The aim of this systematic review was to assess the mechanical complications associated with hip antibiotic-loaded spacers when treating periprosthetic hip PJI.
methodsThrough an electronic systematic search of PubMed, articles reporting mechanical complications of spacers used in the treatment of hip PJI were reviewed. Dislocations, spacer fracture, femoral fractures, and acetabular lysis rates were evaluated.
resultsForty studies were included. Standardized molded spacers had a significantly higher weighted mean of total mechanical complication rates (37.2%) when compared to standardized preformed spacers (13.8%, p = 0.039), while no significant difference was found between molded spacers and manually shaped spacers. Spacer dislocation was the most frequent complication. No significant difference in mechanical complication rate was found between spacers with and without any metallic component.
conclusionsSpacer placement in chronic PJI of the hip with bone and soft-tissue defects is challenging and bears a high risk of mechanical failures and progressive bone loss during the interim period. A careful patient selection for spacer implantation is mandatory.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.