Hip revision surgery in septic loosening.
62 patients with infected hip joints whose treatment was started between January 1980 and December 1986 were analysed retrospectively in December 1992 with a mean observation period of 7.2 years (range 1-13). The treatments employed were debridement with lavage drainage in 6 cases, one-stage replacement of the prosthesis on 47 occasions and two-stage replacement in 27 cases. On 5 occasions the prosthesis was removed and a Girdlestone procedure was undertaken. In the 47 one-stage replacements primary intervention was successful in 57% (n = 27), in the two-stage replacements in 74% (n = 20). In 42 cemented shafts there was primary healing in 34, i.e. 81%, compared with 13 (65%) in the 20 non-cemented shafts. Successful healing was finally achieved in all 62 infected hips.
Morscher
E
E
Department of Orthopaedic Surgery, University, Basle/Switzerland.
Herzog
R
R
Bapst
R
R
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001424:Bacterial Infections / Q000209:etiology / Q000601:surgery*; D005260:Female; D006622:Hip Prosthesis / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011475:Prosthesis Failure; D016459:Prosthesis-Related Infections / Q000209:etiology / Q000601:surgery*; D012086:Reoperation; D012189:Retrospective Studies