Massive structural allograft in revision of septic hip arthroplasty.
We reviewed 10 patients who had undergone two-stage reconstruction with massive structural allografts following failure of hip arthroplasty due to infection. The mean follow-up time was more than 5 years (range 3-10 years). There was no case of the infection recurring. The most common pathogen isolated at the time of first-stage surgery was Stalphylococcus epidermnidis. The mean preoperative modified Harris Hip score was 27.4 (range 9-58) and the mean postoperative score was 73.5 (range 53-92) with a mean increase in the score of 46.1 points. One patient required revision of the acetabular cup for aseptic loosening and another had a dislocation, which was stable after manual reduction. We conclude that the use of a massive structural allograft in revision of septic hip arthroplasty is a viable option.
Ilyas
I
I
King Faisal Specialist Hospital and Research Center, Department of Orthopedic Surgery, Riyadh, Saudi Arabia.
Morgan
D A
DA
D000368:Aged; D019644:Arthroplasty, Replacement, Hip; D005260:Female; D006622:Hip Prosthesis / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D016459:Prosthesis-Related Infections / Q000601:surgery*; D012086:Reoperation; D012189:Retrospective Studies; D014184:Transplantation, Homologous