Partial Two-stage Exchange: an Alternative Method for Infected Total Hip Arthroplasty

Overview

Journal BMC Musculoskelet Disord

Publisher Biomed Central

Specialties Orthopedics
Physiology

Date 2021 Aug 13

PMID 34384393

Citations 2

Authors

Mumingjiang Yishake

Lan Tang

Xi Chen

Yuejian Wang

Rongxin He

Affiliations

Soon will be listed here.

Abstract

Background: Total two-stage exchange is commonly used in clinical practice as a treatment for infected total hip arthroplasty (THA); however, this approach involves considerable limitations, including significant bone loss and severe trauma. This retrospective cohort study was conducted to evaluate clinical outcomes following the use of partial two-stage exchange (PTE) for infected THA.

Methods: We performed a retrospective analysis of 28 patients with infected THA who were treated by PTE between September 2000 and June 2019. Eligibility for PTE was limited to patients with a well-fixed femoral stem prosthesis. In the first stage of the operation, the femoral stem prosthesis was preserved; subsequently, the acetabular prosthesis, liner, and head were replaced with an antibiotic-loaded spacer. The new prosthesis was then implanted into patients and monitored for at least 3 months to ensure freedom from infection.

Results: Patients were followed for an average of 4 years (range, 2-11 years), with an overall success rate of 85.7% (24/28). The mean Harris hip score at the final follow-up was 76.2 ± 11.7 points.

Conclusions: The findings of this study suggest that PTE could be an acceptable option for a subset of patients with infected THA, offering a satisfactory infection control rate and clinical outcomes comparable to those of total two-stage exchange, but with less harm.

Citing Articles

Medullary-Sparing Antibiotic Cement Articulating Spacer Reduces the Rate of Mechanical Complications in Advanced Septic Hip Arthritis: A Retrospective Cohort Study.

Chen C, Lin C, Tsai C, Chen H, Chen H, Lin T J Pers Med. 2024; 14(2).

PMID: 38392594 PMC: 10890418. DOI: 10.3390/jpm14020162.

Partial Two-Stage Exchange for Infected Total Hip Arthroplasty: A Treatment to Take into Account.

Moreno-Romero M, Ordas-Bayon A, Gomez-Rice A, Ortega M, De La Torre Escuredo B J Pers Med. 2023; 13(1).

PMID: 36675798 PMC: 9866598. DOI: 10.3390/jpm13010137.

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