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Cementless two-staged total hip arthroplasty for chronic periprosthetic infection / 中华外科杂志
Chinese Journal of Surgery ; (12): 402-406, 2012.
Article in Chinese | WPRIM | ID: wpr-245859
ABSTRACT
<p><b>OBJECTIVE</b>To determine the clinical outcomes of two-staged cementless revision arthroplasty for the treatment of deep periprosthetic infection after total hip arthroplasty.</p><p><b>METHODS</b>Twenty-three patients with deep periprosthetic infection treated with a standard protocol of two-staged cementless revision hip arthroplasty were enrolled in this study. There were 9 male patients and 14 female patients with an average age of 64 years (range, 52-78 years). In all cases, antibiotics-loaded cement spacers were implanted after removal of all the prosthetic components and thorough debridements had been done. All patients had a minimum of 2 weeks of intravenous antibiotics followed by 4 weeks of oral antibiotics after implant removal. After a mean interval of 6.7 months (3-28 months), revision arthroplasties were carried out with cementless femoral components followed by 2 weeks of intravenous antibiotics and 4 weeks of oral antibiotics.</p><p><b>RESULTS</b>The mean follow-up period was (4.3±3.5) years. There were 2 cases of recurrent infections in this study. Intraoperative periprosthetic fractures were observed in 3 patients. One patient had dislocation of the implanted spacer during the interval period and 2 patients had hip dislocation after reimplantation. Mild subsidence of femoral component occurred in 1 patient. There were no cases of loosening of femoral components and cementless acetabular components in patients without infection recurrence. The Harris hip score increased from a preoperative mean of 36±13 to 85±13 at 12 months after reimplantation.</p><p><b>CONCLUSIONS</b>Using cementless prostheses in two-staged revisions of hip periprosthetic infections can provide low rate of infection recurrence and good implant stability, but cautions must be taken when treating patients with infection caused by multidrug-resistant organisms.</p>
Subject(s)
Full text: Available Index: WPRIM (Western Pacific) Main subject: General Surgery / Retrospective Studies / Follow-Up Studies / Prosthesis-Related Infections / Arthroplasty, Replacement, Hip / Hip Prosthesis / Methods / Anti-Bacterial Agents Type of study: Practice guideline / Observational study / Prognostic study Limits: Aged / Female / Humans / Male Language: Chinese Journal: Chinese Journal of Surgery Year: 2012 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: General Surgery / Retrospective Studies / Follow-Up Studies / Prosthesis-Related Infections / Arthroplasty, Replacement, Hip / Hip Prosthesis / Methods / Anti-Bacterial Agents Type of study: Practice guideline / Observational study / Prognostic study Limits: Aged / Female / Humans / Male Language: Chinese Journal: Chinese Journal of Surgery Year: 2012 Type: Article