title: Peri-prosthetic hip infections: in favour of one-stage.
abstract: Although it does offer certain obvious advantages, the one-staged revision approach in infected THA remains rare in the field of orthopaedics. Besides the reduced number of surgical interventions for patients, it is associated with a decreased inpatient hospital stay and quicker mobilisation. Furthermore, it might be the more cost-effective approach and enables a reduced duration of post-operative systemic antibiotics, usually less than 14 days in our setting. Technically speaking, the presence of a positive culture of a pre-operative aspiration and respective antibiogram are mandatory requirements. A general cemented implant fixation using topical antibiotics is the treatment of choice for single-staged procedures. The key to surgical success is based on the well-defined and detailed intra-hospital infrastructure, including a meticulous pre-operative hip aspiration regime, pre-operative planning and an aggressive intra-operative surgical approach.
authors.affiliation: Orthopaedic Department, ENDO-Klinik Hamburg, Helios, Hamburg - Germany. thorsten.gehrke@endo.de
authors.forename: Thorsten
authors.initials: T
authors.lastname: Gehrke
authors.forename: Daniel
authors.initials: D
authors.lastname: Kendoff
mesh_terms: D000900:Anti-Bacterial Agents / Q000008:administration & dosage*; D019072:Antibiotic Prophylaxis; D019644:Arthroplasty, Replacement, Hip; D001843:Bone Cements / Q000627:therapeutic use*; D002484:Cementation; D003131:Combined Modality Therapy; D004434:Early Ambulation; D017048:Health Care Costs; D006621:Hip Joint / Q000382:microbiology / Q000601:surgery*; D006622:Hip Prosthesis / Q000382:microbiology; D006801:Humans; D011474:Prosthesis Design; D016459:Prosthesis-Related Infections / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D012086:Reoperation
chemical_list: D000900:Anti-Bacterial Agents; D001843:Bone Cements