title: Outcome of the infected hip arthroplasty. A retrospective study of 36 patients.
abstract: We report the outcome after revision for deep infection in 34 total and two hemiarthroplasties of the hip. Excision arthroplasty was carried out in 26 cases a median of 1 (0-8) years after the infection was diagnosed. Thirteen of these cases later underwent rearthroplasty, and in 3 of them the infection recurred. In 3 cases, revision in one stage with exchange of both components was successfully performed. In 2 cases only one of the components was exchanged; both of these procedures failed to eradicate the infection. Five patients died, two deaths being related to the infection. Altogether, the infection was eradicated in 30/36 cases, 34 of whom first underwent nonradical treatment. This contributed to 1 (0-7) years' delay of removal of the prosthesis. Clearly, revision should be performed early if the infection fails to respond rapidly to antibiotic treatment.
authors.affiliation: Orthopedic Hospital of the Invalid Foundation, Helsinki, Finland.
authors.forename: I
authors.initials: I
authors.lastname: Antti-Poika
authors.forename: S
authors.initials: S
authors.lastname: Santavirta
authors.forename: Y T
authors.initials: YT
authors.lastname: Konttinen
authors.forename: V
authors.initials: V
authors.lastname: Honkanen
mesh_terms: D000328:Adult; D000368:Aged; D001424:Bacterial Infections / Q000209:etiology / Q000601:surgery*; D002908:Chronic Disease; D005260:Female; D006622:Hip Prosthesis / Q000009:adverse effects*; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D012086:Reoperation; D012189:Retrospective Studies