Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
International Orthopaedics
Published in: International Orthopaedics 5/2008

01-10-2008 | Original Paper

Total hip arthroplasty for primary septic arthritis of the hip in adults

Authors: Chin-En Chen, Jun-Wen Wang, Rei-Jahn Juhn

Published in: International Orthopaedics | Issue 5/2008

Login to get access

Abstract

Two-stage total hip arthroplasties (THA) performed after primary septic arthritis of hip were studied to evaluate the surgical outcomes and complications. Of 28 cases, the reinfection rate was 14% and complication rate was 36%. At an average follow-up period of 77 months, the outcome in 22 patients (79%) was rated as good or excellent, 4 as fair, and 2 as poor. Leg length discrepancy improved from a preoperative mean of 2.89 cm to a postoperative mean of 0.61 cm. Despite a higher complication rate, two-stage THA was still deemed a worthy procedure because hip function was significantly improved in patients with primary septic arthritis of the hip.
Literature
1.
Bitter ES, Petty W (1982) Girdlestone arthroplasty for infected total hip arthroplasty. Clin Orthop 170:83–87
2.
Carlsson AS (1978) Erythrocyte sedimentation rate in infected and non-infected total hip arthroplasties. Acta Orthop Scand 49:287–290PubMedCrossRef
3.
Charlton WPH, Hozack WJ, Teloken MA, Rao R, Bissett GA (2003) Complications associated with reimplantation after Girdlestone arthroplasty. Clin Orthop 407:119–126PubMedCrossRef
4.
Cherney DL, Amstutz HC (1983) Total hip replacement in the previously septic hip. J Bone Joint Surg Am 65:1256–1265PubMed
5.
Duncan CP, Masri BA (1995) The role of antibiotic-loaded cement in the treatment of an infection after a hip replacement. Instr Course Lect 44:305–313PubMed
6.
7.
Galante JO (1998) Overview of total hip arthroplasty. In: Callaghan JJ (ed) The ault hip. Lippincott-Raven Publishers, Philadelphia, pp 829–832
8.
Girdlestone GR (1943) Acute pyogenic arthritis of the hip, an operation giving free access and effective drainage. Lancet 1:419CrossRef
9.
Grauer JD, Amstutz HC, O’Carroll PF, Dorey FJ (1989) Resection arthroplasty of the hip. J Bone Joint Surg Am 71:669–678PubMed
10.
Gross AE (1995) Reconstruction of the acetabulum. In: Galante, Rosenberg (eds) Total hip revision surgery. Raven Press, New York, pp 335–345
11.
Khatod M, Barber T, Paxton E, Namba R, Fithian D (2006) An analysis of the risk of hip dislocation with a contemporary total joint registry. Clin Orthop 447:19–23PubMedCrossRef
12.
Kim YH (1991) Total arthroplasty of the hip after childhood sepsis. J Bone Joint Surg Br 73:783–786PubMed
13.
Marchetti PG, Baldini ATN, Binazzi R et al (1987) Clinical evaluation of 104 hip resection arthroplasties after removal of a total hip prosthesis. J Arthroplasty 2:37–41PubMedCrossRef
14.
Mcelwaine JP, Colville J (1984) Excision arthroplasty for infected total hip replacement. J Bone Joint Surg Br 66:168–171PubMed
15.
Milgram JW, Rana NA (1991) Resection arthroplasty for septic arthritis of the hip in ambulatory and nonambulatory adult patients. Clin Orthop 272:181–191PubMed
16.
Petty W, Goldsmith S (1980) Resection arthroplasty following infected total hip arthroplasty. J Bone Joint Surg Am 62: 889–896PubMed
17.
Teloken MA, Bissett G, Hozack WJ, Sharkey PF, Rothman RH (2002) Ten to 15-year follow-up after total hip arthroplasty with a tapered cobalt-chromium femoral component (tri-lock) inserted without cement. J Bone Joint Surg Am 84:2140–2144PubMed
18.
Wang JW (1997) Uncemented total arthroplasty in old quiescent infection of the hip. J Formos Med Assoc 96:634–640PubMed
Metadata
Title
Total hip arthroplasty for primary septic arthritis of the hip in adults
Authors
Chin-En Chen
Jun-Wen Wang
Rei-Jahn Juhn
Publication date
01-10-2008
Publisher
Springer-Verlag
Published in
International Orthopaedics / Issue 5/2008
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-007-0366-1

Other articles of this Issue 5/2008

International Orthopaedics 5/2008 Go to the issue

Original Paper

Wound complication of minimally invasive plate osteosynthesis in distal tibia fractures

Original Paper

Polyetheretherketone (PEEK) cage filled with cancellous allograft in anterior cervical discectomy and fusion

Author's Reply

Are drains required following a routine primary total joint arthroplasty? Reply to comment by Al-Naser

Original Paper

Current concepts in the treatment of intra-articular calcaneal fractures: results of a nationwide survey

Original Paper

Proprioceptive skills and functional outcome after anterior cruciate ligament reconstruction with a bone–tendon–bone graft

Original Paper

In situ instrumented posterolateral fusion without decompression in symptomatic low-grade isthmic spondylolisthesis in adults