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Periprosthetic hip infection: Current concepts and the Wrightington experience
Rajpreet Sahemey1, Mohammed As-Sultany1, Henry Wynn Jones1
1Centre for Hip Surgery, Wrightington Hospital, Hall Lane, Apley Bridge, Wigan, Lancashire, WN6 9EP, UK.
Journal of Clinical Orthopaedics and Trauma
|August 26, 2024
Summary
Total hip arthroplasty is rising, increasing periprosthetic joint infection of the hip (PJIH). This review details a high-volume center
Area of Science:
- Orthopedic surgery
- Infectious disease
- Arthroplasty research
Background:
- Total hip arthroplasty (THA) is a common, successful procedure.
- Periprosthetic joint infection of the hip (PJIH) is a serious complication with increasing incidence.
- Lack of high-level evidence leads to varied PJIH definitions, diagnosis, and management.
Purpose of the Study:
- To describe the philosophy and practical approach for managing PJIH.
- To provide insights from a regional tertiary high-volume joint replacement center.
Main Methods:
- Review of current practices and literature.
- Consensus-based approaches.
- Experience from a high-volume tertiary center.
Main Results:
- Current PJIH management relies on cohort studies and expert consensus.
- Significant variation exists in PJIH definition, diagnosis, and treatment.
- A specific center's approach is detailed.
Conclusions:
- Standardizing PJIH management requires further high-level evidence.
- Sharing practical approaches from high-volume centers is valuable.
- This review offers a model for PJIH care.
