BACKGROUND: Well-fixed femoral component removal remains difficult and complicated. METHODS: We report herein the outcomes of two-stage surgery involving retention of bone-ingrown uncemented stems, aggressive soft-tissue debridement, and delayed reimplantation of an acetabular component in 5 patients for infected hip arthroplasty. RESULTS: By a mean follow-up point of 4.2 years after the second-stage operation, none of the 5 patients experienced recurrence of infection, and the mean Harris hip score had improved from 63 to 86 points by the latest follow-up evaluation. CONCLUSION: Two-stage revision with retention of well-fixed uncemented stems could be an alternative treatment option in hip periprosthetic infection.
BACKGROUND: Well-fixed femoral component removal remains difficult and complicated. METHODS: We report herein the outcomes of two-stage surgery involving retention of bone-ingrown uncemented stems, aggressive soft-tissue debridement, and delayed reimplantation of an acetabular component in 5 patients for infected hip arthroplasty. RESULTS: By a mean follow-up point of 4.2 years after the second-stage operation, none of the 5 patients experienced recurrence of infection, and the mean Harris hip score had improved from 63 to 86 points by the latest follow-up evaluation. CONCLUSION: Two-stage revision with retention of well-fixed uncemented stems could be an alternative treatment option in hip periprosthetic infection.
Authors: Valérie Zeller; Luc Lhotellier; Simon Marmor; Philippe Leclerc; Alysa Krain; Wilfrid Graff; Françoise Ducroquet; David Biau; Philippe Leonard; Nicole Desplaces; Patrick Mamoudy Journal: J Bone Joint Surg Am Date: 2014-01-01 Impact factor: 5.284
Authors: K H Koo; J W Yang; S H Cho; H R Song; H B Park; Y C Ha; J D Chang; S Y Kim; Y H Kim Journal: J Arthroplasty Date: 2001-10 Impact factor: 4.757
Authors: Moneer M Abouljoud; David Backstein; Andrew Battenberg; Matthew Dietz; Alejo Erice; Andrew A Freiberg; Jeffrey Granger; Adam Katchky; Anton Khlopas; Tae-Kyun Kim; Per Kjaersgaard-Andersen; Kyung-Hoi Koo; Yona Kosashvili; Percia Lazarovski; Jennifer Leighton; Adolph Lombardi; Konstantinos Malizos; Jorge Manrique; Michael A Mont; Marianthe Papanagiotoy; Rafael J Sierra; Nipun Sodhi; John Stammers; Maik Stiehler; Timothy L Tan; Katsufumi Uchiyama; Derek Ward; Anna Ziogkou Journal: J Arthroplasty Date: 2018-10-19 Impact factor: 4.757