One-stage revision surgery of the infected hip. A minimum 10-year followup study.
Between 1977 and 1983, 24 one-stage revision surgeries were performed for septic failure of a total hip arthroplasty in 24 patients by one surgeon. Twelve patients died and none were lost to followup at a minimum of 10 years after the procedure. Infection reoccurred around two hips (8.3%). If the selected criteria (patients without draining sinuses, without immunocompromise, and with adequate bone quality after debridement) and the standard approach (meticulous debridement, use of antibiotic-impregnated cement, and use of 3 to 6 months postoperative oral antibiotic therapy) used in this study are implemented, direct exchange of an infected total hip arthroplasty construct is a reasonable and cost-effective alternative for some patients with infection after total hip arthroplasty.
Callaghan
J J
JJ
University of Iowa College of Medicine, Iowa City 52242, USA.
Katz
R P
RP
Johnston
R C
RC
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006621:Hip Joint / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D012008:Recurrence; D012086:Reoperation / Q000379:methods; D013530:Surgical Wound Infection / Q000000981:diagnostic imaging / Q000601:surgery*; D013997:Time Factors