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International Orthopaedics

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01-12-2014 | Original Paper

Routine one-stage exchange for chronic infection after total hip replacement

Authors: Jean-Yves Jenny, Régis Lengert, Yann Diesinger, Jeannot Gaudias, Cyril Boeri, Jean-François Kempf

Published in: International Orthopaedics | Issue 12/2014

Abstract

Purpose

We hypothesized that a routine one-stage exchange for treatment of chronically infected total hip replacement (THR) will lead to (1) a higher rate of infection recurrence and (2) a poorer hip outcome than the published rates after two-stage exchange.

Methods

Sixty-five cases have been treated consecutively with one-stage exchange. All patients have been followed for a period of three to six years or until death or infection recurrence.

Results

The five-year rate for infection recurrence was 16 %. The five-year survival rate for recurrence of the index infection was 8 %. Forty-two percent of the hips had a good or excellent PMA score, and 46 % a good or excellent OH score.

Conclusions

Routine one-stage exchange was not associated with a higher recurrence rate and a poorer hip function than previously published series of two-stage exchange. Therefore, there is little support to choose two-stage exchange as the routine treatment for management of chronically infected THR.

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Title: Routine one-stage exchange for chronic infection after total hip replacement
Authors: Jean-Yves Jenny
Régis Lengert
Yann Diesinger
Jeannot Gaudias
Cyril Boeri
Jean-François Kempf
Publication date: 01-12-2014
Publisher: Springer Berlin Heidelberg
Published in: International Orthopaedics / Issue 12/2014
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-014-2466-z

At a glance: The STEP trials

Springer Medicine

Routine one-stage exchange for chronic infection after total hip replacement

Abstract

Purpose

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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