Reimplantation or resection arthroplasty for septic loosening.
Resection arthroplasty should nowadays be considered as obsolete for the following reasons: the removal of the implant and adequate antibiotic therapy can clear the infection. From this point of view the reimplantation of an endoprosthesis is possible. "Deficient bone stock" is not a contraindication to the reimplantation since there are surgical means available to replace bone stock. The results of revision arthroplasty (reimplantation) are incomparably better today that they were years ago (cement-free technique, bone replacement, supports of the acetabulum, special revision prostheses etc.
Morscher
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Department of Orthopaedic Surgery, University Basle, Switzerland.
D006622:Hip Prosthesis / Q000379:methods*; D006801:Humans; D011475:Prosthesis Failure; D016459:Prosthesis-Related Infections / Q000601:surgery*; D012086:Reoperation