One-stage exchange in the treatment of the infected total hip arthroplasty.

One-stage exchange for deep infection of a joint arthroplasty has a valuable place in our range of techniques but should be utilized with great care. Bacteriological facilities must be of an especially high quality. If the operator lacks experience, it is wise to revert to a more conventional two-stage procedure. I believe that for one-stage exchange, heavily antibiotic-loaded acrylic cement should be used. In this account, results from my hospital show that useful survival can be achieved as well as an acceptable rate of control of the infection.