Clinical experience of treating infection after total hip arthroplasty.
- Author:
Yan WANG
1
;
Li-bo HAO
;
Yong-gang ZHOU
;
Jing-dong LI
;
Ji-fang WANG
;
Pei-fu TANG
;
Peng HUANG
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Aged; Aged, 80 and over; Anti-Bacterial Agents; therapeutic use; Arthroplasty; methods; Arthroplasty, Replacement, Hip; methods; Combined Modality Therapy; Female; Hip Prosthesis; adverse effects; Humans; Male; Middle Aged; Prosthesis-Related Infections; therapy; Retrospective Studies; Staphylococcal Infections; therapy; Treatment Outcome
- From: Chinese Journal of Surgery 2005;43(20):1313-1316
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo present the experience in the management of the infected total hip arthroplasty (THA).
METHODSForty-three cases (44 hips) of infection after THA were reviewed. Eighteen women and 25 men with a mean age of 54 years (range, 24-81 years) were studied. Follow-up ranged from 5 months to 16 years (mean, 3.2 years). Treatment strategies included: one-stage revision (n = 7), two-stage revision (n = 15), resection arthroplasty (n = 13), debridement and retain prosthesis (n = 5), and others (n = 3).
RESULTSForty cases had positive culture result with 59 organisms including 19 staphylococcus epidermidis and 10 staphylococcus aureus. Thirty-six cases had been followed up, and no case had infection recurrence. Twenty-nine cases had postoperative Harris hip score averaged 78.5 (45-98).
CONCLUSIONSThe diagnosis and treatment of infection after hip replacement is very difficult. The violence and antibiotic resistant rate of the organisms is high. Two-stage reconstruction of the infected hip is useful and effective because of higher eradication rate of the infection and good postoperative functional result.
