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[Total hip endoprosthesis following resection arthroplasty]
E Engelbrecht1, A Siegel, M Kappus
1Endo-Klinik, Hamburg.
Der Orthopade
|August 1, 1995
Summary
Resection arthroplasty for hip prosthesis infections is often ineffective, with over 30% of patients still infected at revision surgery. This study supports one-stage exchange as a preferred treatment for infected hip prostheses.
Area of Science:
- Orthopedic Surgery
- Infectious Disease Management
Context:
- Hip joint infections following initial surgery pose significant challenges.
- Resection arthroplasty has been used to manage these complex cases.
- Evaluating the long-term efficacy of resection arthroplasty is crucial for treatment optimization.
Purpose:
- To assess the outcomes of hip prosthesis implantation after previous resection arthroplasty.
- To determine the prevalence of persistent infection in patients undergoing revision surgery.
- To compare resection arthroplasty with one-stage exchange for infected hip prostheses.
Summary:
- 347 patients received hip prosthesis implantation following resection arthroplasty between 1976 and 1994.
- Infection was the reason for resection in 130 cases; 31.5% had persistent infection at prosthesis revision.
- Preoperative detection of infection via joint aspiration was low (15 cases).
Impact:
- Resection arthroplasty's limited success in treating periprosthetic infections is highlighted.
- Findings support the one-stage exchange operation as a preferred method for infected hip prostheses.
- This research informs surgical decision-making for complex hip joint infections.