Long Cephalomedullary Nails Can Be a Cheap and Effective Interval Revision Prosthesis in Infected Hip Replacements That Require Proximal Femoral Replacement: A Small Case Series.

Boopalan Ramasamy, Aaron Scott Hammat, Renjy Nelson, Stuart Adam Callary, Ping Keung Chan, Lucian Bogdan Solomon

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Article in Arthroplasty today, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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6 authors.

Boopalan RamasamyDepartment of Orthopaedics and Trauma, Royal Adelaide Hospital, Adelaide, South Australia, Australia.

Aaron Scott HammatCentre for Orthopaedic and Trauma Research, The University of Adelaide, Adelaide, South Australia, Australia.

Renjy NelsonDepartment of Infectious Diseases, Royal Adelaide Hospital, Adelaide, South Australia, Australia.

Stuart Adam CallaryDepartment of Orthopaedics and Trauma, Royal Adelaide Hospital, Adelaide, South Australia, Australia.

Ping Keung ChanDepartment of Orthopaedics and Traumatology, Queen Mary Hospital, The University of Hong Kong, Pok Fu Lam, Hong Kong.

Lucian Bogdan SolomonDepartment of Orthopaedics and Trauma, Royal Adelaide Hospital, Adelaide, South Australia, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hip prosthetic joint infection management is complex and expensive, especially in severe bone loss. Reducing the price of interval prosthesis when performing staged revision could minimize costs without compromising outcomes. We present 2 similar techniques developed independently that use an antibiotic-coated cephalomedullary nail with a total hip arthroplasty bearing (head and cemented acetabular component) attached to it as an interval proximal femoral replacement prosthesis. Using this technique, the femoral implant cost was reduced up to 10-fold. All patients have recovered well with resolution of infection and functional recovery similar to patients undergoing proximal femoral replacement. In one case, the lag screw (femoral neck) fractured at 5 months prompting the second-stage revision. This complication should be considered when deciding the timing of second-stage revisions in these cases.

Indexed as

Cephallomedullary nailFirst stage revisionGamma nailInfected arthroplastyPJITemporary spacer

Identifiers

PMID37841451

DOI10.1016/j.artd.2023.101218

PMCPMC10568308

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LicenceCC BY

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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.