Surgical treatment of the infected hip implant. Two-stage reimplantation with a one-month interval.
Successful treatment of the infected hip prosthesis demands careful planning for infection control and reimplantation. Inadequate surgical debridement dooms well-executed revision surgery to infection failure. Reimplantation is difficult after resection arthroplasty, and this difficulty is increased with longer intervals between resection and reimplantation. Older patients will rehabilitate better if the interval is shorter. The reported protocol successfully compromises between one-stage exchanges and reported two-stage exchanges.
Colyer
R A
RA
Department of Orthopaedic Surgery, Indiana University School of Medicine, Indianapolis.
Capello
W N
WN
D000368:Aged; D003646:Debridement; D005260:Female; D005500:Follow-Up Studies; D006622:Hip Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D016459:Prosthesis-Related Infections / Q000382:microbiology / Q000601:surgery*; D012008:Recurrence; D012086:Reoperation; D013203:Staphylococcal Infections / Q000382:microbiology; D013211:Staphylococcus aureus; D013212:Staphylococcus epidermidis