Two-stage reimplantation of the infected hip.
To determine the diagnosis of patients with infection after total hip replacement may be very difficult, and successful reimplantation is even more challenging. Surgical debridement, removal of all foreign material, and the prosthesis followed by antibiotic therapy are essential for successful eradication of the infection. Reimplantation of the hip allows for functional recovery of the patient. The optimal time for reimplantation of the prosthesis and the role of antibiotic impregnated cement is less clear. A review of the literature strongly favors a two-stage reimplantation with local antibiotic delivery with successful results of approximately 93%.
Garvin
K L
KL
Department of Orthopaedic Surgery and Rehabilitation, University of Nebraska Medical Center, Omaha 68198-1080, USA.
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003646:Debridement; D006622:Hip Prosthesis / Q000009:adverse effects* / Q000379:methods*; D006801:Humans; D016459:Prosthesis-Related Infections / Q000601:surgery*; D016896:Treatment Outcome