Top

Clinical Orthopaedics and Related Research®

Published in:

01-10-2016 | CORR Insights

CORR Insights^®: The Role of Highly Selective Implant Retention in the Infected Hip Arthroplasty

Author: Thoralf Randolph Liebs, MD, PhD

Published in: Clinical Orthopaedics and Related Research® | Issue 10/2016

Excerpt

Periprosthetic joint infection (PJI) is among the most devastating complications after hip replacement surgery [2, 6]. In chronic PJI, a removal of all implant components, débridement, and a subsequent revision arthroplasty (either as a one-stage or a two-stage procedure) is recommended [2, 7, 9, 14, 16] since débridement and component retention alone is associated with a high likelihood that the infection will persist. However, removal of well-ingrown implants can result in substantial bone defects, making subsequent reimplantation difficult. For this reason, we must consider whether indeed we need to remove all implant components for patients with PJI. …

American Joint Replacement Registry (AJRR). Annual Report 2014. Second AJRR Annual Report on Hip and Knee Arthroplasty Data. Rosemont, IL: American Joint Replacement Registry; 2015.

Arnold WV, Shirtliff ME, Stoodley P. Bacterial biofilms and periprosthetic infections. J Bone Joint Surg Am. 2013;95:2223–2229.PubMed

Berbari EF, Hanssen AD, Duffy MC, Steckelberg JM, Ilstrup DM, Harmsen WS, Osmon DR. Risk factors for prosthetic joint infection: Case-control study. Clin Infect Dis. 1998;27:1247–1254.CrossRefPubMed

Ekpo TE, Berend KR, Morris MJ, Adams JB, Lombardi AV, Jr. Partial two-stage exchange for infected total hip arthroplasty: A preliminary report. Clin Orthop Relat Res. 2014;472:437–448.CrossRefPubMed

Frobert O, Lagerqvist B, Olivecrona GK, Omerovic E, Gudnason T, Maeng M, Aasa M, Angeras O, Calais F, Danielewicz M, Erlinge D, Hellsten L, Jensen U, Johansson AC, Karegren A, Nilsson J, Robertson L, Sandhall L, Sjogren I, Ostlund O, Harnek J, James SK. Thrombus aspiration during ST-segment elevation myocardial infarction. N Engl J Med. 2013;369:1587–1597.CrossRefPubMed

Getzlaf MA, Lewallen EA, Kremers HM, Jones DL, Bonin CA, Dudakovic A, Thaler R, Cohen RC, Lewallen DG, van Wijnen AJ. Multi-disciplinary antimicrobial strategies for improving orthopaedic implants to prevent prosthetic joint infections in hip and knee. J Orthop Res. 2016;34:177–186.CrossRefPubMed

Hofmann AA, Goldberg TD, Tanner AM, Cook TM. Ten-year experience using an articulating antibiotic cement hip spacer for the treatment of chronically infected total hip. J Arthroplasty. 2005;20:874–879.CrossRefPubMed

Jovin TG, Chamorro A, Cobo E, de Miquel MA, Molina CA, Rovira A, San Román L, Serena J, Abilleira S, Ribó M, Millán M, Urra X, Cardona P, López-Cancio E, Tomasello A, Castaño C, Blasco J, Aja L, Dorado L, Quesada H, Rubiera M, Hernandez-Pérez M, Goyal M, Demchuk AM, von Kummer R, Gallofré M, Dávalos A; REVASCAT Trial Investigators. Thrombectomy within 8 hours after symptom onset in ischemic stroke. N Engl J Med. 2015;372:2296–2306.

Kraay MJ, Goldberg VM, Fitzgerald SJ, Salata MJ. Cementless two-staged total hip arthroplasty for deep periprosthetic infection. Clin Orthop Relat Res. 2005;441:243–249.CrossRefPubMed

10.

Lauer MS, D’Agostino RB, Sr. The randomized registry trial–the next disruptive technology in clinical research? N Engl J Med. 2013;369:1579–1581.CrossRefPubMed

11.

Lee YK, Lee KH, Nho JH, Ha YC, Koo KH. Retaining well-fixed cementless stem in the treatment of infected hip arthroplasty. Acta Orthop. 2013;84:260–264.CrossRefPubMedPubMedCentral

12.

Liebs TR, Splietker F, Hassenpflug J. Is a revision a revision? An analysis of national arthroplasty registries’ definitions of revision. Clin Orthop Relat Res. 2015;473:3421–3430.CrossRefPubMed

13.

Nistico L, Hall-Stoodley L, Stoodley P. Imaging bacteria and biofilms on hardware and periprosthetic tissue in orthopedic infections. Methods Mol Biol. 2014;1147:105–126.CrossRefPubMed

14.

Parvizi J, Gehrke T, Chen AF. Proceedings of the international consensus on periprosthetic joint infection. Bone Joint J. 2013;95-B:1450–1452.

15.

Whitehouse MR, Parry MC, Konan S, Duncan CP. Deep infection after hip arthroplasty: Staying current with change. Bone Joint J. 2016;98B(1 Suppl A):27–30.

16.

Zimmerli W, Trampuz A, Ochsner PE. Prosthetic joint infections. N Engl J Med. 2004;351:1645–1654.CrossRefPubMed

Title: CORR Insights®: The Role of Highly Selective Implant Retention in the Infected Hip Arthroplasty
Author: Thoralf Randolph Liebs, MD, PhD
Publication date: 01-10-2016
Publisher: Springer US
Published in: Clinical Orthopaedics and Related Research® / Issue 10/2016
Print ISSN: 0009-921X
Electronic ISSN: 1528-1132
DOI: https://doi.org/10.1007/s11999-016-4987-9

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

CORR Insights^®: The Role of Highly Selective Implant Retention in the Infected Hip Arthroplasty

Excerpt

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Excerpt

Please log in to get access to this content

Other articles of this Issue 10/2016

Erratum to: The Role of Highly Selective Implant Retention in the Infected Hip Arthroplasty

CORR Insights®: Hard-on-hard Bearings Are Associated With Increased Noise Generation in Young Patients Undergoing Hip Arthroplasty

Low Frequency of Early Complications With Dual-mobility Acetabular Cups in Cementless Primary THA

Value-based Healthcare: Part 1—Designing and Implementing Integrated Practice Units for the Management of Musculoskeletal Disease

Cementless Total Hip Arthroplasty With Metasul Bearings Provides Good Results in Active Young Patients: A Concise Followup

Bench to Bedside: Platelet-rich Plasma—How Do We Adequately “Untranslate” Translational “Breakthroughs” in an After-market Setting?