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Updated: Feb 11, 2026
09:31
Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty
Published on: February 27, 2018
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Infected total hip replacements: assessment and management
Hosam E Matar1, Paula Stritch2, Nicholas Emms3
1Specialty Registrar in Trauma and Orthopaedics, Department of Trauma and Orthopaedics Whiston Hospital, Prescot, Liverpool L35 5DR.
Summary
Diagnosing and managing infected total hip replacements requires careful assessment, including history, examination, and tests. Treatment options range from debridement to revision surgery, impacting patient outcomes.
Area of Science:
- Orthopedic Surgery
- Infectious Diseases
- Biomaterials Science
Background:
- Infected total hip replacements present significant clinical challenges.
- Accurate diagnosis and effective management are crucial for patient outcomes.
Purpose of the Study:
- To review the clinical assessment and diagnostic methods for infected total hip replacements.
- To outline the principles of surgical management and outcomes of revision surgery.
Main Methods:
- Review of clinical assessment techniques: history, physical examination, laboratory tests, and imaging.
- Analysis of diagnostic criteria and international consensus guidelines.
- Evaluation of surgical management strategies: debridement, prosthesis retention, single-stage and two-stage revision, suppressive antibiotic therapy, and excision arthroplasty.
Main Results:
- Comprehensive clinical assessment is vital for diagnosis.
- Multiple surgical strategies exist, each with specific indications and outcomes.
- Effective management requires a tailored approach based on diagnosis and patient factors.
Conclusions:
- Infected total hip replacements necessitate a systematic approach to diagnosis and management.
- Understanding various treatment options is key to optimizing surgical outcomes.
- Further research into standardized diagnostic and treatment protocols is warranted.
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