Results of therapy of infection complicating total hip replacement

An aim of the management of infection complicating total hip arthroplasty is to control infection and maintain satisfactory hip function. In the period 1993-2000 effectives of therapy of deep injection after total hip replacement in 91 patients was assessed. Infection without loosening of endoprosthesis was diagnosed in 33 hips, septic loosening in 58. In 33 cases without loosening surgical debridement without removal of prosthesis was done with good control of infection in 25 hips. Permanent removal of prosthesis done in 42 cases resulted in recurrence of infection in 6 hips. One stage reimplantation done in 12 patients succeded in 9 hips. Two-stage reimplantation in 3 hips resulted in recurrence of infection in 2 cases. Antibiotic-embedded cement spacer (gentamycin with vancomycin) was used in I case with unsatisfactory result. Recurrent infection was observed in 13 cases of 48 hips treated without implant removal or by reimplantation of new prosthesis.