Low Infection Rate after Tumor Hip Arthroplasty for Metastatic Bone Disease in a Cohort Treated with Extended Antibiotic Prophylaxis

Figure 1

(a) Conventional neck resection, reconstructed with a full length (350 mm) cemented standard stem (Link SPII), to bridge metastatic involvement of the distal femur. Note screw fixation of an antiluxation device to the cemented polyethylene cup (Link Lubinus Eccentric). (b) Conventional calcar resection, reconstructed with a cemented standard stem (Link SPII, 200 mm). Note reconstruction and cement augmentation of a large concurrent acetabular lesion with a pelvic reconstruction cage (Link Partial Pelvic Replacement). (c) Proximal femur resection (160 mm), reconstructed with a cemented proximal femur replacement (Zimmer Segmental System) and a cemented acetabular component (Link Lubinus Eccentric). (d) Proximal femur resection (120 mm), reconstructed with a cemented proximal femur replacement (Zimmer Segmental System) and a multipolar femoral head. (e) Total femur replacement (Stryker GMRS). Note screw fixation of an antiluxation device to the cemented (Link Lubinus Eccentric) polyethylene cup and heterotopic bone formation around the diaphyseal part of the prosthesis.

(a)

(b)

(c)

(d)

(e)