Total hip arthroplasty for primary septic arthritis of the hip in adults.
Two-stage total hip arthroplasties (THA) performed after primary septic arthritis of hip were studied to evaluate the surgical outcomes and complications. Of 28 cases, the reinfection rate was 14% and complication rate was 36%. At an average follow-up period of 77 months, the outcome in 22 patients (79%) was rated as good or excellent, 4 as fair, and 2 as poor. Leg length discrepancy improved from a preoperative mean of 2.89 cm to a postoperative mean of 0.61 cm. Despite a higher complication rate, two-stage THA was still deemed a worthy procedure because hip function was significantly improved in patients with primary septic arthritis of the hip.
Chen
Chin-En
CE
Orthopedic Surgery, Guo Ren Hospital, Pingtung, Taiwan, Republic of China. chinenmd@ms21.hinet.net
Wang
Jun-Wen
JW
Juhn
Rei-Jahn
RJ
D000328:Adult; D000368:Aged; D001170:Arthritis, Infectious / Q000601:surgery*; D019644:Arthroplasty, Replacement, Hip / Q000379:methods; D001799:Blood Sedimentation; D003646:Debridement; D005260:Female; D006621:Hip Joint / Q000382:microbiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D012189:Retrospective Studies; D013290:Streptococcal Infections / Q000601:surgery; D034363:Viridans Streptococci