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[Therapeutic concepts in infected hip prosthesis].
Helvetica Chirurgica Acta
|June 1, 1989
Summary
Treating infected hip joint arthroplasties between 1980-1987, most patients achieved healing. Treatment success for infected hip implants depended on infection type and patient factors.
Area of Science:
- Orthopedic Surgery
- Infectious Diseases
Background:
- Infected hip joint arthroplasties pose significant treatment challenges.
- Effective management requires careful consideration of multiple patient and infection-specific factors.
Purpose of the Study:
- To evaluate treatment outcomes for infected hip joint arthroplasties.
- To identify factors influencing successful treatment of hip implant infections.
Main Methods:
- Retrospective analysis of 62 patients treated for infected hip joint arthroplasties from 1980 to 1987.
- Treatment modality selection based on infection type, implant stability, patient condition, bacterial type, and surrounding tissue status.
- Average follow-up of 37 months.
Main Results:
- Primary healing was achieved in 42 arthroplasties (67%).
- Of the remaining 20 patients, 46 additional operations were performed (2.3 per patient).
- 14 patients (23%) healed after further surgery, while six remained definitively infected.
Conclusions:
- A significant majority of infected hip joint arthroplasties can be successfully treated.
- Treatment success is multifactorial, influenced by infection characteristics and patient status.
- Further surgical intervention can lead to healing in a substantial proportion of cases.
