title: Treatment of infected hip arthroplasty.
abstract: The clinical outcomes of a consecutive series of deep total joint infections treated with a prosthesis retaining protocol were reviewed. The treatment of deep periprosthetic joint infections is challenging. In recent years, two-stage exchange arthroplasty has emerged as the gold standard for successful elimination of infection. With success rates averaging 82% to 96%, this treatment method has both the highest and most consistent rate of infection eradication. Another alternative in the treatment of the deep periprosthetic infection is the single-stage exchange arthroplasty. Successful eradication of infection after single-stage exchange arthroplasty has been reported to average from 60% to 83% after total hip infections. While both the single and two-stage exchange arthroplasty are viable treatment options, they are associated with negative factors such as they are time consuming, expensive, and may entail a 6- to 12-week period with a minimally functioning extremity after prosthesis removal. This paper reports the general principles of management, the treatment of acute infection occurring in the postoperative period or later, and the treatment of chronic infection by exchange arthroplasty or resection arthroplasty.
authors.affiliation: University Paris XII.
authors.forename: Philippe
authors.initials: P
authors.lastname: Hernigou
authors.forename: C-H
authors.initials: CH
authors.lastname: Flouzat-Lachianette
authors.forename: R
authors.initials: R
authors.lastname: Jalil
authors.forename: Sobrinho
authors.initials: S
authors.lastname: Uirassu Batista
authors.forename: I
authors.initials: I
authors.lastname: Guissou
authors.forename: A
authors.initials: A
authors.lastname: Poignard
references.citation: Chirurg. 1970 Nov;41(11):511-5
references.pmid: 5487941
references.citation: Int Orthop. 1996;20(1):12-4
references.pmid: 8881883
references.citation: Clin Orthop Relat Res. 1997 Feb;(335):202-10
references.pmid: 9020219
references.citation: Clin Orthop Relat Res. 1986 Oct;(211):103-7
references.pmid: 3769248
references.citation: Clin Orthop Relat Res. 1990 Apr;(253):173-8
references.pmid: 2107994
references.citation: J Bone Joint Surg Am. 1995 Oct;77(10):1576-88
references.pmid: 7593069
references.citation: Clin Orthop Relat Res. 1994 Jan;(298):75-9
references.pmid: 8118998
references.citation: J Bone Joint Surg Am. 1998 Jan;80(1):60-9
references.pmid: 9469310
references.citation: Semin Arthroplasty. 1994 Jul;5(3):142-6
references.pmid: 10155156
references.citation: J Bone Joint Surg Am. 2006 Jun;88(6):1231-7
references.pmid: 16757755
references.citation: J Bone Joint Surg Am. 2004 Sep;86(9):1989-97
references.pmid: 15342762
references.citation: J Bone Joint Surg Am. 1989 Jul;71(6):828-34
references.pmid: 2745478
references.citation: J Bone Joint Surg Am. 1991 Dec;73(10):1460-8
references.pmid: 1748695
references.citation: Acta Orthop Scand. 1996 Aug;67(4):325-8
references.pmid: 8792732
references.citation: Clin Orthop Relat Res. 1986 Apr;(205):171-83
references.pmid: 3516500
references.citation: J Bone Joint Surg Am. 1975 Oct;57(7):977-81
references.pmid: 1194305
references.citation: Instr Course Lect. 1998;47:297-306
references.pmid: 9571431
references.citation: J Bone Joint Surg Am. 1998 Jul;80(7):961-8
references.pmid: 9698000
references.citation: J Bone Joint Surg Am. 1983 Jan;65(1):128-34
references.pmid: 6336760
references.citation: Clin Orthop Relat Res. 1992 Jul;(280):200-7
references.pmid: 1611745
references.citation: J Bone Joint Surg Br. 1981;63-B(3):342-53
references.pmid: 7021561
references.citation: J Bone Joint Surg Am. 1996 Apr;78(4):512-23
references.pmid: 8609130
references.citation: J Bone Joint Surg Am. 1976 Apr;58(3):358-64
references.pmid: 770477
references.citation: Clin Orthop Relat Res. 2000 Dec;(381):101-5
references.pmid: 11127645
references.citation: Orthopedics. 1985 Sep;8(9):1130-3
references.pmid: 3832055
references.citation: Clin Orthop Relat Res. 1994 Apr;(301):205-12
references.pmid: 8156676
references.citation: J Bone Joint Surg Br. 2002 Jan;84(1):70-2
references.pmid: 11837836
references.citation: J Bone Joint Surg Br. 1978 May;60-B(2):270-5
references.pmid: 659478
references.citation: Clin Orthop Relat Res. 1982 Oct;(170):76-82
references.pmid: 7127967
references.citation: J Arthroplasty. 2006 Jun;21(4 Suppl 1):97-100
references.pmid: 16781440
references.citation: J Bone Joint Surg Am. 1994 Mar;76(3):349-59
references.pmid: 8126040
references.citation: J Bone Joint Surg Am. 1977 Dec;59(8):1042-4
references.pmid: 591534
references.citation: J Arthroplasty. 1996 Dec;11(8):939-44
references.pmid: 8986572
references.citation: J Bone Joint Surg Br. 2008 Feb;90(2):145-8
references.pmid: 18256078
references.citation: Clin Orthop Relat Res. 2000 Nov;(380):9-16
references.pmid: 11064968
references.citation: Acta Orthop Scand. 2001 Jun;72(3):237-40
references.pmid: 11480597
references.citation: J Bone Joint Surg Am. 1998 Sep;80(9):1306-13
references.pmid: 9759815
references.citation: J Orthop Trauma. 1987;1(3):263-4
references.pmid: 3506061
references.citation: J Bone Joint Surg Br. 1997 Jul;79(4):590-5
references.pmid: 9250744
references.citation: J Bone Joint Surg Br. 1994 Sep;76(5):721-4
references.pmid: 8083258
references.citation: J Bone Joint Surg Br. 1989 Nov;71(5):851-5
references.pmid: 2584258