One-Stage Revision for Infected Total Hip Arthroplasty

Orthop Clin North Am. 2016 Jan;47(1):11-8. doi: 10.1016/j.ocl.2015.08.004.

Abstract

Prosthetic joint infection (PJI) is a challenging complication following total hip arthroplasty (THA). Two-stage exchange arthroplasty is preferred for treating chronic PJI of THA, although specialized centers have reported comparable outcomes with protocol-based, 1-stage exchange arthroplasty. A main requirement is presurgical determination of the infecting organism's sensitivity. The therapeutic goal is control of the infection and maintenance of joint function. It offers advantages, including a single operative procedure, fewer antibiotics, and reduced hospitalization time and relative overall costs.

Keywords: Cemented revision; Complication of total hip arthroplasty; One-stage septic exchange; Posterior approach; Prosthetic joint infection (PJI).

Publication types

  • Review

MeSH terms

  • Anti-Bacterial Agents / administration & dosage
  • Arthroplasty, Replacement, Hip / methods*
  • Bone Cements / chemistry
  • Contraindications
  • Debridement
  • Hip Prosthesis / adverse effects*
  • Humans
  • Prosthesis-Related Infections / surgery*
  • Recurrence
  • Reoperation / methods

Substances

  • Anti-Bacterial Agents
  • Bone Cements