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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

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dc.contributor.authorRamasamy, B.
dc.contributor.authorHammat, A.S.
dc.contributor.authorNelson, R.
dc.contributor.authorCallary, S.A.
dc.contributor.authorChan, P.K.
dc.contributor.authorSolomon, L.B.
dc.date.issued2023
dc.description.abstractHip 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.
dc.description.statementofresponsibilityBoopalan Ramasamy, Aaron Scott Hammat, Renjy Nelson, Stuart Adam Callary, Ping Keung Chan, Lucian Bogdan Solomon
dc.identifier.citationArthroplasty Today, 2023; 23:101218-1-101218-6
dc.identifier.doi10.1016/j.artd.2023.101218
dc.identifier.issn2352-3441
dc.identifier.issn2352-3441
dc.identifier.orcidRamasamy, B. [0000-0003-2708-8420]
dc.identifier.orcidHammat, A.S. [0000-0002-7283-9740]
dc.identifier.orcidNelson, R. [0000-0002-2051-5998]
dc.identifier.orcidCallary, S.A. [0000-0002-2892-5238]
dc.identifier.orcidSolomon, L.B. [0000-0001-6254-2372]
dc.identifier.urihttps://hdl.handle.net/2440/141262
dc.language.isoen
dc.publisherElsevier
dc.rights© 2023 Published by Elsevier Inc. on behalf of The American Association of Hip and Knee Surgeons. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
dc.source.urihttps://doi.org/10.1016/j.artd.2023.101218
dc.subjectGamma nail; First stage revision; PJI; Temporary spacer; Infected arthroplasty; Cephallomedullary nail
dc.titleLong Cephalomedullary Nails Can Be a Cheap and Effective Interval Revision Prosthesis in Infected Hip Replacements That Require Proximal Femoral Replacement: A Small Case Series
dc.typeJournal article
pubs.publication-statusPublished

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