Use of a Cement-Loaded Kuntscher Nail in First-Stage Revision Hip Arthroplasty for Massive Femoral Bone Loss Secondary to Infection: A Report of Four Cases
- Resource Type
- article
- Authors
- Corey Richards; Chris J Bell; Sameer Viswanathan; Hugh English; Ross W Crawford
- Source
- Journal of Orthopaedic Surgery, Vol 18 (2010)
- Subject
- Orthopedic surgery
RD701-811
- Language
- English
- ISSN
- 2309-4990
23094990
A 2-stage revision total hip replacement (THR) is the standard treatment for a chronically infected THR with severe metadiaphyseal bone loss. A long-stem cemented prosthesis as part of a temporary articular spacer is commonly used during the first-stage procedure. Nonetheless, this option is expensive and can pose difficulties for patients with a small medullary canal. A construct using an antibiotic cement-loaded Kuntscher nail cemented with a highly polished Exeter stem has been devised and used in 4 patients.