Two-Stage Revision Arthroplasty for Periprosthetic Hip Infection: Mean Follow-Up of Ten Years
Joint Authors
Chang, Yu-Han
Chen, Szu-Yuan
Hu, Chi-Chien
Chen, Chun-Chieh
Hsieh, Pang-Hsin
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-04-29
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Background.
Two-stage revision hip arthroplasty is the gold standard for treatment of patients with chronic periprosthetic joint infection (PJI), but few studies have reported outcomes beyond short-term follow-up.
Methods.
A total of 155 patients who underwent two-stage revision arthroplasty for chronic PJI in 157 hips were retrospectively enrolled in this study between January 2001 and December 2010.
The mean patient age was 57.5 years, the mean prosthetic age was 3.6 years, and the interim interval was 17.8 weeks.
These patients were followed up for an average of 9.7 years.
Results.
At the latest follow-up, 91.7% of the patients were free of infection.
The mean Harris hip score improved significantly from 28.3 points before operation to 85.7 points at the latest follow-up.
Radiographically, there was aseptic loosening of the stem or acetabular components in 4 patients.
In the multivariate survival analysis using a Cox regression model, repeated debridement before final reconstruction, an inadequate interim period, bacteriuria or pyuria, and cirrhosis were found to be the independent risk factors for treatment failure.
Conclusion.
Our data show that two-stage revision hip arthroplasty provides reliable eradication of infection and durable reconstruction of the joint in patients with PJI caused by a variety of pathogens.
American Psychological Association (APA)
Chen, Szu-Yuan& Hu, Chi-Chien& Chen, Chun-Chieh& Chang, Yu-Han& Hsieh, Pang-Hsin. 2015. Two-Stage Revision Arthroplasty for Periprosthetic Hip Infection: Mean Follow-Up of Ten Years. BioMed Research International،Vol. 2015, no. 2015, pp.1-7.
https://search.emarefa.net/detail/BIM-1055132
Modern Language Association (MLA)
Chen, Szu-Yuan…[et al.]. Two-Stage Revision Arthroplasty for Periprosthetic Hip Infection: Mean Follow-Up of Ten Years. BioMed Research International No. 2015 (2015), pp.1-7.
https://search.emarefa.net/detail/BIM-1055132
American Medical Association (AMA)
Chen, Szu-Yuan& Hu, Chi-Chien& Chen, Chun-Chieh& Chang, Yu-Han& Hsieh, Pang-Hsin. Two-Stage Revision Arthroplasty for Periprosthetic Hip Infection: Mean Follow-Up of Ten Years. BioMed Research International. 2015. Vol. 2015, no. 2015, pp.1-7.
https://search.emarefa.net/detail/BIM-1055132
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1055132