Two-Stage Revision Hip Arthroplasty for Infection: Comparison Between the Interim Use of Antibiotic-Loaded

Cement Beads and a Spacer Prosthesis

by Pang-Hsin Hsieh, Chun-Hsiung Shih, Yu-Han Chang, Mel S. Lee, Hsin-Nung Shih, and Wen-E Yang

J Bone Joint Surg AmVolume 86(9):1989-1997

September 1, 2004

©2004 by The Journal of Bone and Joint Surgery, Inc.

The metal mold and the unipolar cup used to make the cement prosthesis.

Pang-Hsin Hsieh et al. J Bone Joint Surg Am 2004;86:1989-1997

©2004 by The Journal of Bone and Joint Surgery, Inc.

The femoral component of the cement prosthesis.

Pang-Hsin Hsieh et al. J Bone Joint Surg Am 2004;86:1989-1997

©2004 by The Journal of Bone and Joint Surgery, Inc.

Anteroposterior radiographs of the hip of a forty-five-year-old woman (from Group I) who had septic loosening of a left total hip prosthesis.

Pang-Hsin Hsieh et al. J Bone Joint Surg Am 2004;86:1989-1997

©2004 by The Journal of Bone and Joint Surgery, Inc.

Radiograph made after removal of the prosthesis.

Pang-Hsin Hsieh et al. J Bone Joint Surg Am 2004;86:1989-1997

©2004 by The Journal of Bone and Joint Surgery, Inc.

Radiograph made five years after reimplantation.

Pang-Hsin Hsieh et al. J Bone Joint Surg Am 2004;86:1989-1997

©2004 by The Journal of Bone and Joint Surgery, Inc.

Anteroposterior radiographs of the hip of a fifty-six-year-old man (from Group II) who had septic loosening of a right total hip prosthesis.

Pang-Hsin Hsieh et al. J Bone Joint Surg Am 2004;86:1989-1997

©2004 by The Journal of Bone and Joint Surgery, Inc.

Radiograph made three months after the first-stage surgery.

Pang-Hsin Hsieh et al. J Bone Joint Surg Am 2004;86:1989-1997

©2004 by The Journal of Bone and Joint Surgery, Inc.

Radiograph made four years after a cementless revision.

Pang-Hsin Hsieh et al. J Bone Joint Surg Am 2004;86:1989-1997

©2004 by The Journal of Bone and Joint Surgery, Inc.