Two-stage revision for treatment of periprosthetic infection following hip arthroplasty.
- Author:
Yong-Gen ZOU
1
;
Zong-Quan FENG
;
Ji-Si XING
;
Zhi-Hao PENG
;
Xuan LUO
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Aged; Arthroplasty, Replacement, Hip; methods; Female; Hip Prosthesis; Humans; Male; Middle Aged; Prosthesis-Related Infections; surgery; Reoperation; Retrospective Studies; Treatment Outcome
- From: Journal of Southern Medical University 2011;31(4):690-693
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo evaluate the efficacy and optimal re-implantation time of two-stage revision for management of periprosthetic infection following hip arthroplasty.
METHODSWe retrospectively analyzed the clinical data of 15 patients (15 hip joints) undergoing two-stage ipsilateral total hip arthroplasty (THA) revision from January, 2006 to January, 2010. In the first stage, after surgical debridement and thorough removal of all the implants, a self-made Vancomycin-loaded cement spacer was implanted. The second stage operation was performed 3-6 months later for debridement and removal of the antibiotic-loaded spacer, followed by re-implantation of Vancomycin-loaded bone cement prosthesis in 9 cases and cementless prosthesis in 6 cases. The patients were followed up for 9-46 months (mean 25 months) after the operation.
RESULTSNo reinfection or prosthesis loosening/displacement was found in these cases after the operation. The Harris score increased from 40.3 before the operation to 54.0 after the first-stage operation, and to 88.2 at the last follow-up.
CONCLUSIONTwo-stage revision is effective for treatment of periprosthetic infection following hip arthroplasty, and 3-6 months can be the optimal interval between the two the first-stage and second-stage operation for re-implantation.