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One-stage revision arthroplasty for infected hip replacements.

Muñoz-Mahamud E, Gallart X, Soriano A - Open Orthop J (2013)

Bottom Line: 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.

View Article: PubMed Central - PubMed

Affiliation: Orthopaedics and Trauma Surgery Department, Hospital Clinic, University of Barcelona, C/Villarroel 170, Barcelona 08036, Barcelona, Spain ; Bone and Joint Infection Unit, Hospital Clinic, University of Barcelona, C/Villarroel 170, Barcelona 08036 Barcelona, Spain.

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.

No MeSH data available.


Related in: MedlinePlus

Posteroanterior (A) and axial (B) view x-ray imaging ofpelvis showing left hybrid total hip arthroplasty (non-cemented cup,cemented stem).
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Figure 1: Posteroanterior (A) and axial (B) view x-ray imaging ofpelvis showing left hybrid total hip arthroplasty (non-cemented cup,cemented stem).

Mentions: Plain radiology is the first technique used for the assessment of a painful prosthesis, and is able to identify the cause of pain in 25% of cases since it can diagnose fractures, dislocations and heterotopic bone calcifications (Fig. 1).


One-stage revision arthroplasty for infected hip replacements.

Muñoz-Mahamud E, Gallart X, Soriano A - Open Orthop J (2013)

Posteroanterior (A) and axial (B) view x-ray imaging ofpelvis showing left hybrid total hip arthroplasty (non-cemented cup,cemented stem).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3722544&req=5

Figure 1: Posteroanterior (A) and axial (B) view x-ray imaging ofpelvis showing left hybrid total hip arthroplasty (non-cemented cup,cemented stem).
Mentions: Plain radiology is the first technique used for the assessment of a painful prosthesis, and is able to identify the cause of pain in 25% of cases since it can diagnose fractures, dislocations and heterotopic bone calcifications (Fig. 1).

Bottom Line: 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.

View Article: PubMed Central - PubMed

Affiliation: Orthopaedics and Trauma Surgery Department, Hospital Clinic, University of Barcelona, C/Villarroel 170, Barcelona 08036, Barcelona, Spain ; Bone and Joint Infection Unit, Hospital Clinic, University of Barcelona, C/Villarroel 170, Barcelona 08036 Barcelona, Spain.

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.

No MeSH data available.


Related in: MedlinePlus