Related Experiment Video
Updated: Jun 5, 2026
07:45
The Use of Mixed Reality in Custom-Made Revision Hip Arthroplasty: A First Case Report
Published on: August 4, 2022
Cementless revision for infected total hip replacements.
1The Joint Replacement Centre of Korea, Ewha Womans University, School of Medicine, 911-1, Mokdong, YangChun-Gu, Seoul 158-170, South Korea. younghookim@ewha.ac.kr
The Journal of Bone and Joint Surgery. British Volume
|January 4, 2011
Summary
Repeated debridement and two-stage revision hip replacement effectively controlled infection in most patients. This approach maintained a functioning total hip replacement (THR) with firm fixation, improving outcomes after initial treatment.
Area of Science:
- Orthopedic Surgery
- Infectious Disease Management
- Arthroplasty Research
Background:
- Infected total hip replacement (THR) poses significant challenges in revision surgery.
- Controlling infection while preserving joint function is a primary goal in THR management.
Purpose of the Study:
- To evaluate the success rate of repeated debridement and two-stage cementless revision arthroplasty for infected THR.
- To assess infection control and functional outcomes based on the type of THR infection.
Main Methods:
- A cohort of 294 patients with infected THR underwent repeated debridement and two-stage cementless revision.
- Infection control rates, clinical (Harris hip score), and radiological results were assessed.
- Mean follow-up was 10.4 years.
Main Results:
- High infection control rates were achieved: 100% for superficial, 98.4% for early deep, 98.5% for late chronic, and 91.0% for acute haematogenous infections.
- 98% of patients maintained a functioning THR with firm fixation at latest follow-up.
- Allografts showed successful union without failure.
Conclusions:
- Repeated debridement and two-stage revision arthroplasty are effective in controlling infection after THR.
- These surgical strategies successfully maintain a functional THR with durable fixation in the majority of patients.
- Further improvements in infection control and functional THR maintenance were observed with repeated interventions.