Routine one-stage exchange for chronic infection after total hip replacement

被引：34

作者：

Jenny, Jean-Yves ^{[1
]}

Lengert, Regis ^{[1
]}

Diesinger, Yann ^{[1
]}

Gaudias, Jeannot ^{[1
]}

Boeri, Cyril ^{[1
]}

Kempf, Jean-Francois ^{[1
]}

机构：

[1] Univ Hosp Strasbourg, Ctr Orthopaed & Hand Surg, F-67400 Illkirch Graffenstaden, France

来源：

INTERNATIONAL ORTHOPAEDICS | 2014年 / 38卷 / 12期

关键词：

Total hip replacement; Infection; One stage exchange; Outcome; PERIPROSTHETIC INFECTION; 2-STAGE REVISION; ARTHROPLASTY; STANDARD; SPACER;

D O I：

10.1007/s00264-014-2466-z

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Purpose We hypothesized that a routine one-stage exchange for treatment of chronically infected total hip replacement (THR) will lead to (1) a higher rate of infection recurrence and (2) a poorer hip outcome than the published rates after two-stage exchange. Methods MethSixty-five cases have been treated consecutively with one-stage exchange. All patients have been followed for a period of three to six years or until death or infection recurrence. Results The five-year rate for infection recurrence was 16 %. The five-year survival rate for recurrence of the index infection was 8 %. Forty-two percent of the hips had a good or excellent PMA score, and 46 % a good or excellent OH score. Conclusions Routine one-stage exchange was not associated with a higher recurrence rate and a poorer hip function than previously published series of two-stage exchange. Therefore, there is little support to choose two-stage exchange as the routine treatment for management of chronically infected THR.

引用

页码：2477 / 2481

页数：5

共 23 条

[1] What is the evidence base to guide surgical treatment of infected hip prostheses? Systematic review of longitudinal studies in unselected patients [J].

Beswick, Andrew D. ;

Elvers, Karen T. ;

Smith, Alison J. ;

Gooberman-Hill, Rachael ;

Lovering, Andrew ;

Blom, Ashley W. .

BMC MEDICINE, 2012, 10

[2] MANAGEMENT OF DEEP INFECTION OF TOTAL HIP-REPLACEMENT [J].

BUCHHOLZ, HW ;

ELSON, RA ;

ENGELBRECHT, E ;

LODENKAMPER, H ;

ROTTGER, J ;

SIEGEL, A .

JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1981, 63 (03) :342-353

[3] The two-stage standard in revision total hip replacement [J].

Cooper, H. J. ;

Della Valle, C. J. .

BONE & JOINT JOURNAL, 2013, 95B (11) :84-87

[4] Questionnaire on the perceptions of patients about total hip replacement [J].

Dawson, J ;

Fitzpatrick, R ;

Carr, A ;

Murray, D .

JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1996, 78B (02) :185-190

[5] Infectiological, functional, and radiographic outcome after revision for prosthetic hip infection according to a strict algorithm [J].

De Man, F. Harald R. ;

Sendi, Parham ;

Zimmerli, Werner ;

Maurer, Thomas B. ;

Ochsner, Peter E. ;

Ilchmann, Thomas .

ACTA ORTHOPAEDICA, 2011, 82 (01) :27-34

[6] An Articulating Antibiotic Spacer Controls Infection and Improves Pain and Function in a Degenerative Septic Hip [J].

Fleck, Erin E. ;

Spangehl, Mark J. ;

Rapuri, Venkat R. ;

Beauchamp, Christopher P. .

CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2011, 469 (11) :3055-3064

[7] Ten-year experience using an articulating antibiotic cement hip spacer for the treatment of chronically infected total hip [J].

Hofmann, AA ;

Goldberg, TD ;

Tanner, AM ;

Cook, TM .

JOURNAL OF ARTHROPLASTY, 2005, 20 (07) :874-879

[8] Two-stage revision hip arthroplasty for infection with a custom-made, antibiotic-loaded, cement prosthesis as an interim spacer [J].

Hsieh, PH ;

Chen, LH ;

Chen, CH ;

Lee, MS ;

Yang, WE ;

Shih, CH .

JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 2004, 56 (06) :1247-1252

[9]

Jackson WO, 2000, CLIN ORTHOP RELAT R, P101

[10] Infected total hip arthroplasty revision: One- or two-stage procedure? [J].

Klouche, S. ;

Leonard, P. ;

Zeller, V. ;

Lhotellier, L. ;

Graff, W. ;

Leclerc, P. ;

Mamoudy, P. ;

Sariali, E. .

ORTHOPAEDICS & TRAUMATOLOGY-SURGERY & RESEARCH, 2012, 98 (02) :144-150

← 1 2 3 →