{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T17:55:45Z","timestamp":1790358945210,"version":"4.1.0"},"reference-count":25,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2016,11,25]],"date-time":"2016-11-25T00:00:00Z","timestamp":1480032000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["HIP International"],"published-print":{"date-parts":[[2017,3]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The aim of this work is to evaluate an acetabular antibiotic loaded bone cement spacer in 2-stage revision surgery as a potential approach able to reduce complications during the inter-stage period (i.e. dislocation, acetabular wear), as well as simplify 2-stage hip revision surgery and improve hip biomechanics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We performed a retrospective comparative study and evaluated clinical, radiological and surgical data of 71 patients affected by periprosthetic hip infection who were treated with 2-stage exchange. 31 patients were treated using an acetabular spacer in addition to the femoral (group A) while 40 underwent a standard revision surgery (femoral spacer only, group B).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Mean time of surgery for the first stage was 148 \u00b1 59 minutes and 142 \u00b1 45 minutes for group A and B respectively; we noted a statistically significant reduction (26 min, p = 0.015) in the same parameter for the second stage (83 \u00b1 35 minutes for group A and 109 \u00b1 36 minutes for group B). We observed the following interstage complications: 5 femoral spacer dislocations (1 for group A and 4 for group B); 1 spacer fracture (group B), 1 spacer fracture (group A), 2 periprosthetic fractures (group B) and 2 patients with acetabular spacer instability (group B). Additionally, we observed a significant improvement in leg length restoration for group A (p = 0.03).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Our data show that the acetabular spacer technique is able to reduce the interstage complication rate and allow improved hip biomechanics restoration.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.5301\/hipint.5000446","type":"journal-article","created":{"date-parts":[[2016,11,25]],"date-time":"2016-11-25T12:26:48Z","timestamp":1480076808000},"page":"187-192","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":35,"title":["Acetabular Spacers in 2-Stage Hip Revision: Is it Worth it? A Single-Centre Retrospective Study"],"prefix":"10.1177","volume":"27","author":[{"given":"Giorgio","family":"Burastero","sequence":"first","affiliation":[{"name":"Infectious Diseases and Septic Orthopaedics, Hospital St. Mary of Mercy, Albenga - Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Basso","sequence":"additional","affiliation":[{"name":"Orthopaedic Clinic - IRCCS University Hospital San Martino IST, Genova - Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuliana","family":"Carrega","sequence":"additional","affiliation":[{"name":"Infectious Diseases and Septic Orthopaedics, Hospital St. Mary of Mercy, Albenga - Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luca","family":"Cavagnaro","sequence":"additional","affiliation":[{"name":"Orthopaedic Clinic - IRCCS University Hospital San Martino IST, Genova - Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Chiarlone","sequence":"additional","affiliation":[{"name":"Orthopaedic Clinic - IRCCS University Hospital San Martino IST, Genova - Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlo","family":"Salomone","sequence":"additional","affiliation":[{"name":"Infectious Diseases and Septic Orthopaedics, Hospital St. Mary of Mercy, Albenga - Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriele","family":"Papa","sequence":"additional","affiliation":[{"name":"Orthopaedic Clinic - IRCCS University Hospital San Martino IST, Genova - Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lamberto","family":"Felli","sequence":"additional","affiliation":[{"name":"Orthopaedic Clinic - IRCCS University Hospital San Martino IST, Genova - Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2016,11,25]]},"reference":[{"key":"bibr1-hipint.5000446","doi-asserted-by":"publisher","DOI":"10.1016\/j.berh.2006.08.003"},{"key":"bibr2-hipint.5000446","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra040181"},{"key":"bibr3-hipint.5000446","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.H.00155"},{"key":"bibr4-hipint.5000446","unstructured":"Australian Orthopaedic Association National Joint Replacement Registry, Annual Report. 2015. 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