Safety of total hip replacement following an intra-articular steroid hip injection--an audit.
The aim of this study was to determine the deep infection rates in patients who underwent a total hip replacement after having had a prior diagnostic steroid injection into the same hip. We identified and reviewed the case notes, relevant radiographs and microbiology reports of all patients who underwent a total hip replacement after a diagnostic steroid hip injection in our unit from 1 January 2007 to 31 April 2009. There were 40 patients. (10 males and 30 females) Their mean age was 68.4 (52-82) years. The mean time interval from the injection to the joint replacement was 6.2 (2-23) months. The mean follow-up was 23.2 (11-37) months. None of the patients in the study group developed a deep infection during this followup period. Diagnostic intra articular steroid and local anaesthetic injection prior to total hip replacement appears to be safe.
Department of Trauma and Orthopaedics, Queen Elizabeth Hospital, Gateshead, Tyne and Wear, UK. bijusankar@doctors.org.uk
Biju
B
Sankar
Shanaka
S
Seneviratne
Sarkhel
S
Radha
Aysha
A
Rajeev
Paul
P
Banaszkiewicz
D000368:Aged; D000369:Aged, 80 and over; D000779:Anesthetics, Local / Q000008:administration & dosage; D001170:Arthritis, Infectious / Q000453:epidemiology*; D019644:Arthroplasty, Replacement, Hip; D002045:Bupivacaine / Q000008:administration & dosage; D005260:Female; D005938:Glucocorticoids / Q000008:administration & dosage* / Q000009:adverse effects*; D006801:Humans; D007270:Injections, Intra-Articular; D008297:Male; D008485:Medical Audit; D008875:Middle Aged; D015207:Osteoarthritis, Hip / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery*; D011239:Prednisolone / Q000008:administration & dosage* / Q000009:adverse effects*; D012189:Retrospective Studies
D000779:Anesthetics, Local; D005938:Glucocorticoids; D011239:Prednisolone; D002045:Bupivacaine