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One-stage revision arthroplasty for infected hip replacements
Ernesto Muñoz-Mahamud1, Xavier Gallart, Alejandro Soriano
1Orthopaedics and Trauma Surgery Department, Hospital Clinic, University of Barcelona, C/Villarroel 170, Barcelona 08036, Barcelona, Spain ; Bone and Joint Infection Unit, Hospital Clinic, University of Barcelona, C/Villarroel 170, Barcelona 08036 Barcelona, Spain.
One-stage hip revision surgery offers a potentially effective alternative to traditional two-stage approaches for treating chronic hip prosthesis infections. This method aims to reduce patient risk and healthcare costs by consolidating treatment into a single procedure.
Area of Science:
- Orthopedic Surgery
- Infectious Diseases
- Biomaterials
Background:
- Periprosthetic joint infection (PJI) is a significant complication following total hip arthroplasty (THA).
- Chronic PJIs with prosthesis loosening typically necessitate prosthesis removal for effective treatment.
- The conventional two-stage approach involves prosthesis removal, infection treatment, and subsequent reimplantation.
Purpose of the Study:
- To evaluate the feasibility and potential benefits of a one-stage hip revision for treating chronic hip prosthesis infections.
- To explore an alternative to the two-stage approach, aiming to reduce patient morbidity and resource utilization.
Main Methods:
- Investigated the use of a one-stage hip revision procedure in selected patients with chronic hip prosthesis infections.
- Utilized antibiotic-loaded cemented components and cementless implants within the single-stage protocol.
Main Results:
- A one-stage procedure potentially offers a lower cumulative perioperative risk compared to two-stage approaches.
- Functional prosthesis replacement is achieved without the complications associated with intermediate spacers.
- Financial and resource allocation benefits are also associated with the one-stage method.
Conclusions:
- One-stage hip revision may be a viable option for selected patients with chronic hip prosthesis infections.
- This approach could lead to reduced patient risk, fewer complications, and improved healthcare efficiency.