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[The infected total hip replacement prosthesis]

R Schneider

    Helvetica Chirurgica Acta
    |December 1, 1978
    PubMed
    Summary

    One-stage exchange hip prosthesis surgery using antibiotic bone cement can lead to clinical healing in over half of infected cases. Good patient health and surgical technique are crucial for successful outcomes in infected hip prosthesis treatment.

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    Area of Science:

    • Orthopedic Surgery
    • Infectious Disease Management

    Background:

    • Infected hip prostheses present a significant challenge in orthopedic surgery.
    • Various therapeutic strategies exist, but success rates can be variable.

    Purpose of the Study:

    • To evaluate the efficacy of one-stage exchange arthroplasty with antibiotic bone cement for infected hip prostheses.
    • To identify factors influencing treatment outcomes in these complex cases.

    Main Methods:

    • A retrospective analysis of 48 cases of infected hip prosthesis was conducted.
    • Thirty patients underwent a one-stage exchange operation using Buchholz antibiotic bone cement.
    • Clinical and radiological outcomes were assessed up to 5 years post-surgery.

    Main Results:

    • Over half of the patients treated with one-stage exchange arthroplasty achieved clinical healing after up to 5 years.
    • Successful outcomes were associated with good prosthesis stability.
    • Signs of infection and pathological radiographic findings often resolved post-operatively.

    Conclusions:

    • One-stage exchange arthroplasty with antibiotic bone cement is a viable option for managing infected hip prostheses.
    • Patient's general condition, absence of infectious foci, and surgical technique are critical for successful outcomes.
    • Early postoperative complications typically manifest within the first year.

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