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Technical note

The “glove” technique: a modified method for femoral fixation of antibiotic-loaded hip spacers

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Pages 386-388 | Accepted 08 Feb 2009, Published online: 26 Oct 2009

Figures & data

Figure 1. Mold, consisting of polyoxymethylene (POM), for standardized production of hip spacers. Each spacer has a head diameter of 50 mm, a stem length of 10 cm, and a total surface area of 13,300 mm2.

Figure 1. Mold, consisting of polyoxymethylene (POM), for standardized production of hip spacers. Each spacer has a head diameter of 50 mm, a stem length of 10 cm, and a total surface area of 13,300 mm2.

Figure 2. Mold for production of the acetabular component. The component has an inside/outside diameter of 53/56 mm and a total surface area of 4,410 mm2.

Figure 2. Mold for production of the acetabular component. The component has an inside/outside diameter of 53/56 mm and a total surface area of 4,410 mm2.

Figure 3. The antibiotic-loaded bone cement, consisting of the same mixture as the spacer, is introduced into the glove.

Figure 3. The antibiotic-loaded bone cement, consisting of the same mixture as the spacer, is introduced into the glove.

Figure 4. Insertion of the hip spacer into the cement-filled glove.

Figure 4. Insertion of the hip spacer into the cement-filled glove.

Figure 5. After removal of the glove, the cement mantle around the stem of the spacer shows an almost exact anatomical copy of the proximal part of the femur.

Figure 5. After removal of the glove, the cement mantle around the stem of the spacer shows an almost exact anatomical copy of the proximal part of the femur.

Figure 6. Reinsertion of the spacer into the femur.

Figure 6. Reinsertion of the spacer into the femur.

Figure 7. Articulating hip spacer fixed according to the “glove technique” in situ.

Figure 7. Articulating hip spacer fixed according to the “glove technique” in situ.

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