[Strategy in endoprosthesis infections]

Area of Science:

• Orthopedic Surgery
• Infectious Diseases
• Biomaterials Science

Background:

• Periprosthetic joint infection (PJI) is a significant complication following total hip replacement (THR).
• Understanding the definition, typical progression, and treatment options for THR infections is crucial for patient outcomes.
• Current management strategies aim to eradicate infection while preserving joint function.

Purpose of the Study:

• To review the established definitions, natural history, and treatment modalities for infection in total hip replacement.
• To present a specific clinical case illustrating a successful two-stage revision protocol for a complex THR infection.
• To highlight the utility of cementless resection prostheses in managing infected hip arthroplasty.

Main Methods:

• Comprehensive literature review on total hip replacement infection.
• Detailed case report of a patient undergoing two-stage revision surgery.
• Utilization of a cementless resection prosthesis during the revision procedure.

Main Results:

• The review outlines standard approaches to diagnosing and treating THR infections.
• The presented case demonstrates the successful application of a two-stage revision using a cementless resection prosthesis.
• The patient achieved a favorable outcome with eradication of infection and restoration of hip function.

Conclusions:

• Two-stage revision surgery is an effective treatment for periprosthetic joint infections after total hip replacement.
• Cementless resection prostheses offer a viable option for reconstruction in infected hip arthroplasty.
• Multidisciplinary management is key to optimizing results in complex cases of total hip replacement infection.