THE SPACERS APPLICATION IN THE TREATMENT OF PERI-IMPLANT INFECTION AFTER HIP ARTHROPLASTY
It was performed an analysis of published data on the current approaches to the treatment of infections that developed in the outcome of total hip arthroplasty. The data that the gold standard of treatment is a two-stage revision cases using spacers made of cement impregnated with antibiotic, which allows to control the infection in 90 % of cases. One of the decisive factors in the favorable outcome of this complication is timely diagnosis and early surgical active case management. The use of cement and metal-cement spacers for the treatment of patients after removal of the prosthesis allows to keep the possibility of axial load on the limb at the time of remission of the inflammatory process. Such an approach reduces the amount of resection osteotomy of the acetabulum, the femur in revision endoprosthesis.