Hip arthroplasty infection. Current concepts.
Due to systemic or local antibiotic treatment and other preventive procedures, the incidence of deep hip-prosthetic infections in Scandinavia is less than 1 percent, with the majority hematogenous. Coagulase-negative staphylococci and anaerobes are involved in more than half of the cases. The diagnosis is sometimes difficult; preoperative aspiration often gives misleading results; and granulocyte scanning usually adds valuable information. In deep infection the current strategy is to revise with a two-stage procedure. Revisions should be carried out at specialized centers with bacteriologic competence and sufficient experience with implants.
Orthopedic Hospital, Invalid Foundation, Helsinki, Finland.
I
I
Antti-Poika
G
G
Josefsson
Y
Y
Konttinen
L
L
Lidgren
S
S
Santavirta
L
L
Sanzén
D001424:Bacterial Infections / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D006622:Hip Prosthesis / Q000009:adverse effects*; D006801:Humans; D012086:Reoperation