One-stage cementless revision arthroplasty for infected hip replacements
- 13 August 2008
- journal article
- research article
- Published by Springer Nature in International Orthopaedics
- Vol. 33 (5), 1195-1201
- https://doi.org/10.1007/s00264-008-0640-x
Abstract
We hypothesised that one-stage cementless revision hip arthroplasty may have advantages and a role in the treatment of selected patients with an infected hip replacement. We retrospectively reviewed all patients with an infected hip replacement treated with one-stage revision using cementless implants. Twelve patients were reviewed and followed up for at least three years (average: 7.2 years, range: 3.3–11.3 years) postoperatively. One recurrence of infection and one aseptic stem loosening were detected during follow-up. Grafted bone, which was used in eight patients, appeared to have united to host bone in all patients. The success rate of treatment was 83.3% when infection recurrence or component loosening were regarded as failure. One-stage revision hip arthroplasty using cementless implants appears to have a role in the treatment of carefully selected patients with an infected hip replacement if meticulous débridement is performed and appropriate antibiotics are properly used.Keywords
This publication has 27 references indexed in Scilit:
- Cementless Two-Stage Exchange Arthroplasty for Infection after Total Hip ArthroplastyThe Journal of Arthroplasty, 2007
- Treatment of deep infection of the hip associated with massive bone lossThe Journal of Bone and Joint Surgery. British volume, 2005
- Revision total hip arthroplasty using third-generation cementing techniqueThe Journal of Arthroplasty, 2000
- The Treatment of the Infected Hip ReplacementPublished by Wolters Kluwer Health ,1999
- One-Stage Revision Surgery of the Infected HipPublished by Wolters Kluwer Health ,1999
- One stage revision arthroplasty of the hip for deep gram negative infectionInternational Orthopaedics, 1996
- Two-stage cementless revision THR after infection: 5 recurrences in 40 cases followed 2.5-7 yearsActa Orthopaedica, 1996
- Remplacements en un temps des prothèses totales de hanches infectées et reconstructions osseuses par allogreffesInternational Orthopaedics, 1992
- Revision Operations on Infected Total Hip ArthroplastiesPublished by Wolters Kluwer Health ,1988
- Aerobic and Anaerobic Bacteria in Deep Infections after Total Hip ArthroplastyClinical Orthopaedics and Related Research, 1981