Joint Infection

Vancogenx®-Space Hip Flat Stem

Spacer for Hip

TAGS Hip Gentamicin+Vancomycin Flat Stem

Vancogenx®-Space Hip Flat Stem is the preformed spacer for hip preloaded with Gentamicin. The device includes a load-bearing structure in stainless steel, with a rectangular flat stem. It’s available in 3 different head sizes (46-54-60mm) and 2 different stem lengths.

The most studied preformed spacer

Tecres spacers represent today the most studied and published spacer devices with over 100 publications in peer-reviewed journals.

High success rate

The relevant clinical information extracted from 26 peer-reviewed papers (21 different hospitals, more than 1,100 unique patients) shows that the infection eradication rate, at a mean follow-up of 56 months, exceeds 91%.

Antibiotics synergy

When combined, Gentamicin and Vancomycin have a synergistic action against bacteria.1-2-3 Their range of action covers approximately 90% of the pathogenic agents generally isolated in surgical infections.3-4 The Gentamicin and Vancomycin combination is the most commonly used and published combination in cases of concomitant treatment of orthopaedic infections. 5-6-7

Preformed, safe and reliable

The use of a preformed commercial spacer, with standardized mechanical and pharmacological properties is an option which provides mechanical, biological and pharmacological safety and performance.

Advantages

  • maintain the correct joint space
  • allow a good range of joint mobility
  • promote early rehabilitation by providing a means to avoid muscular retraction
  • allow the patient greater function during the treatment period
  • allow partial weight-bearing with crutches when the residual bone stock is adequate 
  • provide high and inhibitory local concentration of antibiotic in the site of infection at implantation (Bertazzoni Minelli et al., 2015) which is maintained over time (Mutimer et al., 2009).

Bibliography - 1. Watanakunakorn C, et al. Antimicrob Agents Chemother. 1973; 2. Watanakunakorn C, et al. Antimicrob Agents Chemother. 1982; 3. E. Bertazzoni Minelli, et al. Anaerobe. 2011; 4. Trampuz A, et al. Swiss Med Wkly. 2005 ; 5. Penner MJ, et al. J Arthroplasty. 1996; 6. Masri BA, et al. J Arthroplasty. 1998; 7. Bertazzoni Minelli E, et al. J Chemother. 2002

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ReLOAD

REsilient Logistics supply chain Design
Progettazione di una supply chain e di una logistica resiliente

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