NDLI: Two-stage revision of an infected total hip arthroplasty: a follow-up of 136 patients.

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Two-stage revision of an infected total hip arthroplasty: a follow-up of 136 patients.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Van Diemen, Marcus P. J. Colen, Sascha Dalemans, Alain A. R. Stuyck, Jose Mulier, Michiel
Description	Author Affiliation: van Diemen MP ( Department of Orthopaedic Surgery, University Hospitals Leuven, Pellenberg - Belgium.)
Abstract	BACKGROUND AND PURPOSE: Periprosthetic infection of a total hip arthroplasty (THA) is commonly treated with a two-stage revision procedure. After resection of the infected THA and placement of a cement spacer loaded with antibiotics, a THA is inserted at a second procedure to restore hip function and mobility. Revision surgery carries a significant risk of complications. This study focuses on hip function, rate of complications and reinfection after two-stage revision surgery for an infected THA. PATIENTS AND METHODS: From January 1996 to April 2010, 136 patients underwent revision surgery after removal of an infected THA. Follow-up ranged from 2 years to more than 15 years. Hip function was evaluated using the modified Harris Hip Score (mHHS) and the Hip disability and Osteoarthritis Outcome Score (HOOS). Visual Analogue Scale (VAS) measured pain. Annual follow-up included radiographs of the affected hip and blood sampling for inflammatory parameters. RESULTS: After revision surgery, average mHHS was 63% and average HOOS was 54%. VAS pain averaged 26.8 on a 100-point scale and 40% of patients had no pain. Prosthesis-related complications unrelated to sepsis occurred in 32%. Most common were periprosthetic fractures, leg length discrepancy and dislocation. Reinfection occurred in 13% of these patients and Coagulase Negative Staphylococcus (CNS) was isolated in 67%. CONCLUSION: Two-stage evision surgery is an accepted treatment for infected THAs. However, complications are common and hip function afterwards is modest. As previous studies have shown, CNS is an important microorganism in reinfection.
File Format	HTM / HTML
ISSN	11207000
Issue Number	5
Volume Number	23
e-ISSN	17246067
Journal	Hip International
Language	English
Publisher	Sage Publications
Publisher Date	2013-09-01
Publisher Place	Italy
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Orthopedics Arthroplasty, Replacement, Hip Adverse Effects Hip Prosthesis Osteoarthritis, Hip Surgery Prosthesis-related Infections Therapy Aged Anti-bacterial Agents Therapeutic Use Female Follow-up Studies Humans Male Middle Aged Diagnosis Etiology Recovery Of Function Reoperation Treatment Outcome Journal Article
Content Type	Text
Resource Type	Article
Subject	Orthopedics and Sports Medicine Surgery

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Two-stage revision of an infected total hip arthroplasty: a follow-up of 136 patients.

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