Reimplantation of infected total hip arthroplasties in the absence of antibiotic cement.
Twenty-two patients with deep infection of the hip were reimplanted and followed for a minimum of 3 years. All reimplantations were done without antibiotic-impregnated cement. Nine were done using cemented and 13 using cementless components. Two patients had recurrent infection. Both of these had primary Pseudomonas infections and had cemented revisions. At 3 or more years, 91% of patients are infection-free as determined by clinical evaluation, erythrocyte sedimentation rate, and, in a few, aspiration. Cemented hips had less pain than cementless hips, although both had equivalent functional scores. The significance of these findings is that reimplantation of infected hips can be successfully accomplished without antibiotic-impregnated cement. Cementless fixation can therefore be used. Clinical results with cementless hips for reimplantation will improve with current designs and techniques.
Wilson
M G
MG
Department of Orthopaedic Surgery, Rancho Los Amigos Hospital, Downey, California.
Dorr
L D
LD
D000368:Aged; D000369:Aged, 80 and over; D001843:Bone Cements; D004927:Escherichia coli Infections / Q000209:etiology; D005260:Female; D005500:Follow-Up Studies; D006192:Haemophilus Infections / Q000209:etiology; D006622:Hip Prosthesis / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000382:microbiology*; D011552:Pseudomonas Infections / Q000209:etiology*; D012086:Reoperation; D013203:Staphylococcal Infections / Q000209:etiology*
D001843:Bone Cements