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CC BY 4.0 · Rev Bras Ortop (Sao Paulo) 2024; 59(05): e793-e796
DOI: 10.1055/s-0041-1736341
Relato de Caso
Quadril

Sobrevida em longo prazo do espaçador cimentado para quadril: Relato de caso

Artikel in mehreren Sprachen: português | English
Roshan Jacob 
1   Departamento de Cirurgia Ortopédica, University of Alabama at Birmingham, Birmingham, Alabama, Estados Unidos
,
Mackenzie Sowers 
1   Departamento de Cirurgia Ortopédica, University of Alabama at Birmingham, Birmingham, Alabama, Estados Unidos
,
Kelly Chandler 
1   Departamento de Cirurgia Ortopédica, University of Alabama at Birmingham, Birmingham, Alabama, Estados Unidos
,
Mihir Patel 
1   Departamento de Cirurgia Ortopédica, University of Alabama at Birmingham, Birmingham, Alabama, Estados Unidos
,
Ashish B. Shah 
1   Departamento de Cirurgia Ortopédica, University of Alabama at Birmingham, Birmingham, Alabama, Estados Unidos
,
Sameer Mahadeorao Naranje 
1   Departamento de Cirurgia Ortopédica, University of Alabama at Birmingham, Birmingham, Alabama, Estados Unidos
› Institutsangaben

Financial Support The authors declare that there was no financial support from public, commercial, or non-profit sources.
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Resumo

Apresentamos um caso único de um homem de 56 anos que deambulou com um espaçador cimentado para quadril durante 11 anos. Após ser submetido a uma hemiartroplastia em virtude de um acidente de carro, o paciente desenvolveu uma infecção articular periprotética (IAP) vários anos depois, sendo submetido à técnica de revisão da etapa 1. Com a resolução da infecção depois da etapa 1, o paciente recusou a segunda etapa, devido à satisfação com o espaçador cimentado por quase 11 anos.

Pelo que sabemos, este é o caso mais longo relatado de um espaçador cimentado em um paciente deambulando. Este caso demonstra a confiabilidade mecânica dos espaçadores cimentados reforçados com metal que podem ser mantidos por um prazo longo em pacientes selecionados.

Palavras-chave

articulação do quadril - artroplastia de quadril - cimentos ósseos - infecções relacionadas às próteses - prótese de quadril

Trabalho desenvolvido no Departamento de Cirurgia Ortopédica da University of Alabama at Birmingham, Birmingham, Alabama, Estados Unidos.




Publikationsverlauf

Eingereicht: 07. Dezember 2020

Angenommen: 11. Februar 2021

Artikel online veröffentlicht:
11. November 2021

© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

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  • Referências

  • 1 Gundtoft PH, Pedersen AB, Varnum C, Overgaard S. Increased Mortality After Prosthetic Joint Infection in Primary THA. Clin Orthop Relat Res 2017; 475 (11) 2623-2631
    CrossrefPubMedSuche in Google Scholar
  • 2 Charette RS, Melnic CM. Two-Stage Revision Arthroplasty for the Treatment of Prosthetic Joint Infection. Curr Rev Musculoskelet Med 2018; 11 (03) 332-340
    CrossrefPubMedSuche in Google Scholar
  • 3 Citak M, Masri BA, Springer B, Argenson J-N, Kendoff DO. Are Preformed Articulating Spacers Superior To Surgeon-Made Articulating Spacers in the Treatment Of PJI in THA? A Literature Review. Open Orthop J 2015; 9: 255-261
    CrossrefPubMedSuche in Google Scholar
  • 4 D'Angelo F, Negri L, Binda T, Zatti G, Cherubino P. The use of a preformed spacer in two-stage revision of infected hip arthroplasties. Musculoskelet Surg 2011; 95 (02) 115-120
    CrossrefPubMedSuche in Google Scholar
  • 5 Scharfenberger A, Clark M, Lavoie G, O'Connor G, Masson E, Beaupre LA. Treatment of an infected total hip replacement with the PROSTALAC system. Part 1: Infection resolution. Can J Surg 2007; 50 (01) 24-28
    PubMedSuche in Google Scholar
  • 6 Beaupre LA, Stampe K, Masson E. et al. Health-related quality of life with long-term retention of the PROSthesis of Antibiotic Loaded Acrylic Cement system following infection resolution in low demand patients. J Orthop Surg (Hong Kong) 2017; 25 (02) 2309499017716257
    CrossrefPubMedSuche in Google Scholar
  • 7 Parvizi J, Tan TL, Goswami K. et al. The 2018 Definition of Periprosthetic Hip and Knee Infection: An Evidence-Based and Validated Criteria. J Arthroplasty 2018; 33 (05) 1309-1314.e2
    CrossrefPubMedSuche in Google Scholar
  • 8 Yang FS, Lu YD, Wu CT, Blevins K, Lee MS, Kuo FC. Mechanical failure of articulating polymethylmethacrylate (PMMA) spacers in two-stage revision hip arthroplasty: the risk factors and the impact on interim function. BMC Musculoskelet Disord 2019; 20 (01) 372
    CrossrefPubMedSuche in Google Scholar
  • 9 Regis D, Sandri A, Magnan B, Bartolozzi P. Six-year follow-up of a preformed spacer for the management of chronically infected total hip arthroplasty. Arch Orthop Trauma Surg 2010; 130 (09) 1111-1115
    CrossrefPubMedSuche in Google Scholar
  • 10 Luk MH, Ng FY, Fu H, Chan PK, Yan CH, Chiu KY. Retention of prosthetic articulating spacer after infected hip arthroplasty as a semipermanent implant: A case report. J Orthop Trauma Rehabil 2019; 26 (02) 105-107
    Suche in Google Scholar
  • 11 Choi H-R, Freiberg AA, Malchau H, Rubash HE, Kwon Y-M. The fate of unplanned retention of prosthetic articulating spacers for infected total hip and total knee arthroplasty. J Arthroplasty 2014; 29 (04) 690-693
    CrossrefPubMedSuche in Google Scholar