Valeriy Murylev^1,2*, Grigoriy Kukovenko^1,2, Pavel Elizarov^1,2, Alexey Muzychenkov^1,2, Alexander Zhuchkov², Semen Alekseev², Ivan Chizh¹, Michail Elizarov¹, Nursultan Stambekov¹, Alexander Rudnev¹ and Nikolay Erochin^1,2

¹Sechenov University: Pervyj Moskovskij Gosudarstvennyj Medicinskij Universitet Imeni I M Secenova. I.M.Sechenov First Moscow State Medical University Moscow. Russian Federation
²Municipal Clinical Hospital SP Botkin: Gorodskaia Klinicheskaia Bol'nitsa Imeni SP Botkina. (S. P. Botkin Moscow City Clinical Hospital.) Moscow. Russian Federation

*Corresponding Author: Valeriy Murylev, Sechenov University: Pervyj Moskovskij Gosudarstvennyj Medicinskij Universitet Imeni I M Secenova. I. M. Sechenov First Moscow State Medical University Moscow. Russian Federation.

Received: April 18, 2022; Published: June 17, 2022

Abstract

Purpose: To evaluate the functional results of using 3D spacers for IIIA and IIIB defects according to the classification system described by W.G. Paprosky during the first stage of deep hip periprosthetic joint infection (PJI) treatment.

Patients and methods: From 2017 to 2020, 24 patients with hip PJI and IIIA and IIIB acetabular bone defects according to the W.G. Paprosky classification underwent first-stage revision arthroplasty. The patients were divided into 2 groups: group 1 received articulating spacers, and group 2 received 3D custom-made spacers. Function was evaluated by the Harris hip score (HHS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and visual analogue scale (VAS). Statistical analyses were performed using IBM SPSS Statistics version 22.0 for Windows. Student's t-test, Wilcoxon's signed-rank test (to compare parameters before and after surgery) and the Mann-Whitney rank-sum test were used.

Results: In the first group, the average VAS score, HHS, and WOMAC score were 3.3 (± 1.4), 51.3 (± 9.4), and 42.9 (± 5.9), respectively; in the second group, the average VAS score, HHS, and WOMAC score were 1.3 (± 0.9), 69.7 (± 3.6), and 30.1 (± 2.4), respectively. The rating scale data showed a statistically significant improvement in the function of patients in the second group (p < 0.05).

Conclusion: Custom-made 3D spacers used during the first stage of treatment for deep periprosthetic hip infections yielded larger improvements in function and quality of life than articulating spacers.

Keywords: Revision Arthroplasty; Two-Stage Revision Arthroplasty; Hip Joint; Periprosthetic Infection; 3d Spacer; Custom-Made Spacer

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Citation

Citation: Valeriy Murylev., et al. “Modern Technologies in the First Stage Treatment of Deep Periprosthetic Hip Joint Infection".Acta Scientific Orthopaedics 5.7 (2022): 89-96.

Copyright

Copyright: © 2022 Valeriy Murylev., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.