One-stage Revision Arthroplasty for Infected Hip Replacements

Overview

Journal Open Orthop J

Publisher Bentham Open

Specialty Orthopedics

Date 2013 Jul 31

PMID 23898350

Citations 3

Authors

Ernesto Munoz-Mahamud

Xavier Gallart

Alejandro Soriano

Affiliations

Soon will be listed here.

Abstract

Infection remains a serious complication after total hip arthroplasty (THA) and is a leading cause of hip revision surgery. It is currently accepted that removal of the prosthesis is essential to curing an infection when facing chronic PJIs with prosthesis loosening. In order to avoid the disadvantages of a two-stage approach, some authors have proposed a one-stage hip revision for the treatment of hip prosthesis infection in selected patients using not only antibiotic-loaded cemented components but also cementless implant. In the case of a one-stage procedure, the patient is exposed to a single major procedure and therefore lower cumulative perioperative risk. A functional prosthesis replacement is completed without exposure to the complications associated with spacers. In addition, there are also benefits both financially and in terms of resource allocation.

Citing Articles

Revision Hip Arthroplasty in Patient with Acetabulum Migration into Subperitoneal Space-A Case Report.

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Blood loss and allogeneic transfusion for surgical treatment of periprosthetic joint infection: a comparison of one- vs. two-stage exchange total hip arthroplasty.

Sharqzad A, Cavalheiro C, Zahar A, Lausmann C, Gehrke T, Kendoff D Int Orthop. 2018; 43(9):2025-2030.

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Management of the Infected Total Hip Arthroplasty.

Lopez D, Leach I, Moore E, Norrish A Indian J Orthop. 2017; 51(4):397-404.

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