Impact of introducing custom-made articulating spacers: A retrospective cohort study on two protocols for two-stage hip revision

Figure 1 Anteroposterior radiograph of the right hip of a patient in group B, with a custom-made articulating spacers.

Figure 2 Anteroposterior radiograph of the right hip of a patient in group B after a Girdlestone resection arthroplasty. A spacer was deemed contraindicated due to a 22 cm long extended trochanteric osteotomy, necessary for cement removal.

Figure 3 Construction of a custom-made articulating spacers. A Lubinus Classic stem and a polyethylene IP cup are coated with Palacos R+G bone cement with added extra antibiotics, leaving the posterior surface of the cup and the tip of the stem uncoated to facilitate easier removal.