Patients undergoing revision arthroplasty have consistently been reported to be at higher risk of infection in comparison to primary arthroplasty, with infection rates of 7.9% - 33% reported, irrespective of whether a one or two-stage approach is used. In addition, bone loss becomes an increasing problem with every revision.
CERAMENT can help you in the management of hip and knee revisions because it remodels into host bone within 6-12 months, offering stability and fixation for the new implant, and improved bone stock should another revision be required. Injectability and flowability means it can be placed in areas that are difficult to access, and ensures complete defect filling.
Malchau H & Herberts P. Prognosis of total hip replacement. The Swedish National Hip Arthroplasty register 1996. Proceedings American Academy of Orthopedic Surgeons. Atlanta: 1996
Namba, RS et al. Risk Factors for Total Knee Arthroplasty Aseptic Revision. J Arthroplasty (2013), http://dx.doi.org/10.1016/j.arth.2013.04.050
Pulido L et al. Periprosthetic joint infection: the incidence, timing, and predisposing factors. Clin Orthop Relat Res 2008;466:1710–1715
Tsukayama DT et al. Infection after total hip arthroplasty. A study of the treatment of one hundred and six infections. J Bone Joint Surg [Am] 1996;78-A:512–523
Jamsen E, Huhtala H, Puolakka T, Moilanen T. Risk factors for infection after knee arthroplasty. A register-based analysis of 43,149 cases. J Bone Joint Surg Am. 2009;91:38–47
Kubista B, Hartzler RU, Wood CM, Osmon DR, Hanssen AD, Lewallen DG. Reinfection after two-stage revision for periprosthetic infection of total knee arthroplasty. Int Orthop. 2011;36:65–71
Azzam K, McHale K, Austin M, Purtill JJ, Parvizi J. Outcome of a second two-stage reimplantation for periprosthetic knee infection. Clin Orthop Relat Res. 2009;467:1706–14
Hanssen AD, Osmon DR. Evaluation of a staging system for infected hip arthroplasty. Clin Orthop Relat Res. 2002;403:16–22.
Springer, BD & Javad P. Periprosthetic Joint Infection of the Hip and Knee, Springer.