The second stage revision for infected total hip arthroplasty using antibiotic-loaded cement prosthesis.
- Author:
Wei WEI
1
;
Bo-Long KOU
;
Rong-Sen JU
;
Hou-Shan LÜ
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Aged; Anti-Bacterial Agents; therapeutic use; Arthroplasty, Replacement, Hip; adverse effects; Bone Cements; Female; Follow-Up Studies; Hip Prosthesis; Humans; Male; Middle Aged; Prosthesis-Related Infections; diagnosis; etiology; surgery; Reoperation
- From: Chinese Journal of Surgery 2007;45(4):246-248
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo investigate the effect of two-stage revision for infected total hip arthroplasty (THA) using antibiotic-loaded cement prosthesis.
METHODSFrom June 1999 to October 2004, 14 patients who admitted for infected primary total hip arthroplasty surgeries were performed revision surgery with antibiotic-loaded cement prosthesis in two-stage. The mean Harris score of pre-operation was 23. In the first stage operation, the following steps were performed, complete debridement, removal of infected prosthesis, implantation of cement spacer with antibiotics, treatment involved concomitant administration of 3 weeks of intravenous (IV) and 1 month of oral. After 6 months, antibiotic-loaded prosthesis was implanted in the second stage.
RESULTSThe mean follow-up was 18 months (7 - 26 months), no recurrent infection occurred in all 14 patients. The mean post-operation Harris score was 70.
CONCLUSIONSThe success of the protocol to control the delayed infection after THA are complete debridement, enough interval and using antibiotic-loaded cement prosthesis in two stage revision.
