Cure rate of infections is not an argument for spacer in two-stage revision arthroplasty of the hip.

ABSTRACT:

Introduction

 A devastating complication after total hip arthroplasty (THA) is chronic periprosthetic joint infection (PJI). Most frequently spacers (Sp) with or without antibiotics are implanted in a two-stage procedure even though not always indicated due to unknown pathogen, femoral and acetabular defects or muscular insufficiency.

Materials and methods

 A retrospective analysis of a prospectively collected database was conducted, analyzing the treatment of 44 consecutive cases with chronic PJI undergoing two-stage revision using a Girdlestone situation (GS) in the interim period between 01/2015 and 12/2018. Diagnostics included intraoperative microbiological cultures, histological analysis, sonication of the initial implant, analysis of hip aspiration, as well as laborat

SUBMITTER: Adl Amini D 

PROVIDER: S-EPMC10030410 | biostudies-literature | 2023 Apr

REPOSITORIES: biostudies-literature