Repeat 2-stage exchange for infected total hip arthroplasty: a viable option?
Publication/Presentation Date
6-1-2012
Abstract
We investigated whether performing a repeat 2-stage exchange eradicates infection in patients who previously underwent 2-stage treatment for an infected total hip arthroplasty. We identified 15 patients who had failed a 2-stage total hip arthroplasty and underwent a planned repeat 2-stage between 2000 and 2009. Of the 15 patients, 8 were treated with a complete 2-stage procedure, whereas the remaining 7 patients were treated only with a first-stage resection of the infected implant. Of the 8 patients who underwent complete 2-stage exchange, 1 died because of in-hospital complications, and 1 had a recurrent infection. Repeat infection is highly associated with resistant organisms, obesity, and poor patient health. Of the 7 patients who underwent resection without reimplantation, 3 had a recurrent infection. Our data suggest that if infection can be adequately controlled after repeat resection of the joint prosthesis, reimplantation is a reasonable option.
Volume
27
Issue
6
First Page
923
Last Page
926
ISSN
1532-8406
Published In/Presented At
Mortazavi, S. M., O'Neil, J. T., Zmistowski, B., Parvizi, J., & Purtill, J. J. (2012). Repeat 2-stage exchange for infected total hip arthroplasty: a viable option?. The Journal of arthroplasty, 27(6), 923–6.e1. https://doi.org/10.1016/j.arth.2011.11.006
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
22226613
Department(s)
Administration and Leadership
Document Type
Article