title: Deep infection after hip arthroplasty: staying current with change.
abstract: Periprosthetic joint infection (PJI) complicates between 0.5% and 1.2% primary total hip arthroplasties (THAs) and may have devastating consequences. The traditional assessment of patients suffering from PJI has involved the serological study of inflammatory markers and microbiological analysis of samples obtained from the joint space. Treatment has involved debridement and revision arthroplasty performed in either one or two stages. We present an update on the burden of PJI, strategies for its diagnosis and treatment, the challenge of resistant organisms and the need for definitive evidence to guide the treatment of PJI after THA.
authors.affiliation: University of Bristol, Southmead Hospital, Bristol, BS10 5NB, UK.
authors.forename: M R
authors.initials: MR
authors.lastname: Whitehouse
authors.affiliation: Royal Orthopaedic Hospital NHS Foundation Trust, Bristol Road South, Birmingham, B31 2AP, UK.
authors.forename: M C
authors.initials: MC
authors.lastname: Parry
authors.affiliation: The University of British Columbia, 3rd Floor, 910 West 10th Avenue, Vancouver, BC, V5Z 4E3, Canada.
authors.forename: S
authors.initials: S
authors.lastname: Konan
authors.affiliation: The University of British Columbia, 3rd Floor, 910 West 10th Avenue, Vancouver, BC, V5Z 4E3, Canada.
authors.forename: C P
authors.initials: CP
authors.lastname: Duncan
mesh_terms: D006622:Hip Prosthesis / Q000009:adverse effects*; D006801:Humans; D016459:Prosthesis-Related Infections / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy
keywords: Total Hip Replacement; Infection