title: Two-Stage Cementless Revision Total Hip Arthroplasty for Infected Primary Hip Arthroplasties.
abstract: The main purpose of the present study was to analyze the clinical features, the most common infective agents, and the results of two-stage total hip revision using a teicoplanin-impregnated spacer. Between January 2005 and July 2011, 41 patients were included. At the clinical status analysis, physical examination was performed, Harris hip score was noted, isolated microorganisms were recorded, and the radiographic evaluation was performed. The mean Harris hip score was improved from 38.9 ± 9.6 points to 81.8 ± 5.8 points (P<0.05). Infection was eradicated in 39 hips. Radiographic evidence of stability was noted in 37 acetabular revision components, and all femoral stems. Two-stage revision of the infected primary hip arthroplasty is a time-consuming but a reliable procedure with high rates of success.
authors.affiliation: Devrek State Hospital, Zonguldak, Turkey.
authors.forename: Yalkin
authors.initials: Y
authors.lastname: Camurcu
authors.affiliation: Erzincan University Faculty of Medicine, Erzincan, Turkey.
authors.forename: Hakan
authors.initials: H
authors.lastname: Sofu
authors.affiliation: Dogubeyazit State Hospital, Agri, Turkey.
authors.forename: Abdul Fettah
authors.initials: AF
authors.lastname: Buyuk
authors.affiliation: Baltalimani Bone and Joint Diseases Hospital, Istanbul, Turkey.
authors.forename: Sarper
authors.initials: S
authors.lastname: Gursu
authors.affiliation: Baltalimani Bone and Joint Diseases Hospital, Istanbul, Turkey.
authors.forename: Mehmet Akif
authors.initials: MA
authors.lastname: Kaygusuz
authors.affiliation: Erzincan University Faculty of Medicine, Erzincan, Turkey.
authors.forename: Vedat
authors.initials: V
authors.lastname: Sahin
mesh_terms: D000077:Acetabulum / Q000601:surgery; D000328:Adult; D000368:Aged; D001168:Arthritis; D019644:Arthroplasty, Replacement, Hip / Q000379:methods*; D001847:Bone Diseases; D005260:Female; D005269:Femur; D006615:Hip; D006622:Hip Prosthesis; D006801:Humans; D053208:Kaplan-Meier Estimate; D008297:Male; D008875:Middle Aged; D010808:Physical Examination; D011475:Prosthesis Failure; D016459:Prosthesis-Related Infections / Q000601:surgery*; D012086:Reoperation; D017334:Teicoplanin / Q000737:chemistry
chemical_list: D017334:Teicoplanin
keywords: arthroplasty; hip; infection; teicoplanin; two-stage revision