Author:
Muñoz-Mahamud Ernesto,Gallart Xavier,Soriano Alejandro
Abstract
Infection remains a serious complication after total hip arthroplasty (THA) and is a leading cause of hip revision surgery. It is currently accepted that removal of the prosthesis is essential to curing an infection when facing chronic PJIs with prosthesis loosening. In order to avoid the disadvantages of a two-stage approach, some authors have proposed a one-stage hip revision for the treatment of hip prosthesis infection in selected patients using not only antibiotic-loaded cemented components but also cementless implant. In the case of a one-stage procedure, the patient is exposed to a single major procedure and therefore lower cumulative perioperative risk. A functional prosthesis replacement is completed without exposure to the complications associated with spacers. In addition, there are also benefits both financially and in terms of resource allocation.
Publisher
Bentham Science Publishers Ltd.
Reference43 articles.
1. García S, Soriano A, Esteban P. Usefulness of adding antibiotic to cement in one stage exchange of chronic infection in total hip arthroplasty Med Clin (Barc) 2005; 125 (4) : 138-9.
2. Schutzer SF, Harris WH. Deep-wound infection after total hip replacement under contemporary aseptic conditions J Bone Joint Surg Am 1988; 70 (5) : 724-.
3. Barrack RL, Burnett RS, Sharkey P, Parvizi J. Diagnosing an infection an unsolved problem Orthopedics 2007; 30 (9) : 777-8.
4. Martí-Valls J, Alonso J, Lamarca R. Effectiveness and cost of total hip replacement in seven hospitals in Catalonia Spain Med Clin (Barc) 2000; 114 ( Suppl 2) : 34-9.
5. Soriano A, García S, Bori G. Treatment of acute post-surgical infection of joint arthroplasty Clin Microbiol Infect 2006; 12 (9) : 930-3.
Cited by
8 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献