Treatment of Infected uncemented Total Hip Arthroplasty: Two-stage revision procedure by preserving well-fixed femoral components in four cases.
- Author:
Taek Rim YOON
1
;
Sung Man ROWE
;
Chol Hong PARK
;
Sung Nam JUNG
Author Information
1. Department of Orthopaedic Surgery, Chonnam University Hospital, Kwangju, Korea.
- Publication Type:Original Article
- Keywords:
Hip arthroplasty;
Infection;
Cement spacer;
Revision;
Retained femoral component
- MeSH:
Acetabulum;
Anti-Bacterial Agents;
Arthroplasty;
Arthroplasty, Replacement, Hip*;
Debridement;
Hip;
Recurrence
- From:The Journal of the Korean Orthopaedic Association
2000;35(3):467-472
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
In infected uncemented hip arthroplasty, 4 cases which showed well-fixed femoral stem were managed by staged procedure. Thorough debridement, removal of acetabular socket and insertion of antibiotics impregnated cement spacer was done without removal of femoral stem. No recurrence of infection or loosening was developed after staged procedure and revisoin was performed after infection evidence disappeared. The interval between the two procedures was 4 months (3-6) on average. In Weber's criteria, all 4 cases were graded as having definitive cure of infection on both clinical and radiological criteria (Grade I) .
