title: One-stage cementless revision arthroplasty for infected hip replacements.
abstract: We hypothesised that one-stage cementless revision hip arthroplasty may have advantages and a role in the treatment of selected patients with an infected hip replacement. We retrospectively reviewed all patients with an infected hip replacement treated with one-stage revision using cementless implants. Twelve patients were reviewed and followed up for at least three years (average: 7.2 years, range: 3.3-11.3 years) postoperatively. One recurrence of infection and one aseptic stem loosening were detected during follow-up. Grafted bone, which was used in eight patients, appeared to have united to host bone in all patients. The success rate of treatment was 83.3% when infection recurrence or component loosening were regarded as failure. One-stage revision hip arthroplasty using cementless implants appears to have a role in the treatment of carefully selected patients with an infected hip replacement if meticulous débridement is performed and appropriate antibiotics are properly used.
authors.affiliation: Department of Orthopaedic Surgery, Seoul National University Hospital, Seoul National University College of Medicine, 28 Yeongeon-dong, Jongno-gu, Seoul, 110-744, South Korea.
authors.forename: Jeong Joon
authors.initials: JJ
authors.lastname: Yoo
authors.forename: Young Sam
authors.initials: YS
authors.lastname: Kwon
authors.forename: Kyung-Hoi
authors.initials: KH
authors.lastname: Koo
authors.forename: Kang Sup
authors.initials: KS
authors.lastname: Yoon
authors.forename: Young-Min
authors.initials: YM
authors.lastname: Kim
authors.forename: Hee Joong
authors.initials: HJ
authors.lastname: Kim
mesh_terms: D000328:Adult; D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects / Q000379:methods*; D016025:Bone Transplantation; D002484:Cementation; D003131:Combined Modality Therapy; D003646:Debridement; D005260:Female; D016908:Gram-Positive Bacterial Infections / Q000209:etiology / Q000628:therapy*; D006622:Hip Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D016348:Osseointegration; D011475:Prosthesis Failure; D012086:Reoperation; D012189:Retrospective Studies; D013530:Surgical Wound Infection / Q000209:etiology / Q000628:therapy*; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents