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Deep infection following total hip arthroplasty
The Journal of Bone and Joint Surgery. American Volume
|December 1, 1977
Summary
Deep sepsis after total hip arthroplasty is a severe complication. Complete removal of implants and long-term antibiotics were the only effective treatments in sixteen patients, though most did not achieve original surgical goals.
Area of Science:
- Orthopedic Surgery
- Infectious Disease
Background:
- Deep sepsis is a significant postoperative complication following total hip arthroplasty.
- This complication leads to increased patient suffering, impaired function, and necessitates further medical intervention, potentially resulting in mortality.
Purpose of the Study:
- To evaluate the treatment outcomes for deep sepsis after total hip arthroplasty.
- To identify effective management strategies for this serious complication.
Main Methods:
- A retrospective case series involving sixteen patients with deep sepsis post-total hip arthroplasty.
- Treatment involved complete extirpation of all implants combined with long-term antibiotic administration.
Main Results:
- Complete removal of implants and prolonged antibiotic therapy proved to be the sole effective treatment approach.
- Fifteen out of sixteen patients did not achieve the initial objectives of their original surgery.
Conclusions:
- Management of deep sepsis following total hip arthroplasty requires aggressive surgical intervention.
- Achieving original functional goals may be challenging even with effective sepsis treatment.