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Poster: 47Distally Locked Long Stem Prosthesis for the Management of Infected PeriProsthetic Fractures of the FemurIntroduction*Sujith Konan - University College Hospital - London, United KingdomFaizal Rayan - University College Hospital - London, United KingdomFares S Haddad - University College Hospital - London, United Kingdom*Email: docsujith@yahoo.co.ukWe describe our novel approach to managing infected periprosthetic fractures using a revisionimplant for temporary fracture stabilisation.MethodsA series of 17 consecutive patients aged between 74 and 83 years (average age 81.51, SD 6.32)who presented with periprosthetic fracture and microbiologically proven infection, weremanaged by radical debridement and antibiotic therapy along with temporary implantation of along stem cannulated, non-hydroxyappatite coated and distally locked femoral prosthesis(Cannulock, Orthodesign, Christchurch, UK in 12 cases and Kent Hip prosthesis in 5 cases).Post operatively patients were allowed to mobilise as allows and antibiotics were continueduntil biochemical markers returned to normal.ResultsA good clinical outcome and excellent functional outcome was noted in all 17 cases. There wasone case of pulmonary embolism, which was treated. There were no instances of infectionsassociated with prolonged immobilisation and hospital stay. Ten patients underwent a definitiverevision hip replacement procedure within an average of 4.3 weeks (range 3.9 to 5.7, SD 2.15).Two patients required a second debridement and delayed definitive treatment due to persistentlyhigh inflammatory markers. In the rest of the cases, the implant has been accepted as permanentprosthesisConclusionWe believe that this novel approach significantly improves functional outcome in themanagement of infected periprosthetic fractures.file:///E|/ISTA2010-Abstracts.htm[12/7/2011 3:15:47 PM]