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[Infected endoprosthesis of the hip - an actuel problem (author's transl)]
Zeitschrift Fur Orthopadie Und Ihre Grenzgebiete
|December 1, 1975
Insights
Removing infected total hip replacements, without replacement, effectively cures infection and relieves pain. This approach offers comparable function to head-neck-resections and is well-received by patients.
Area of Science:
- Orthopedic Surgery
- Infectious Disease Management
Context:
- Management of infected total hip replacements (THRs)
- 49 infected THRs treated at a specialized orthopedic hospital
Purpose:
- Evaluate the outcomes of explantation without reimplantation for infected THRs
- Assess infection cure rates, pain relief, functional results, and patient satisfaction
Summary:
- 39 out of 49 infected THRs were removed and not replaced.
- This strategy resulted in a near-total cure of infection and significant pain relief.
- Functional outcomes were comparable to those of head-neck-resections.
Impact:
- Explantation without reimplantation is a viable alternative for managing infected THRs.
- This method demonstrates good patient acceptance and functional equivalence to resection procedures.
- Offers a potentially less invasive approach compared to revision arthroplasty.
Abstract:
Out of 49 infected total hip replacements which were treated at the Orthopedic Hospital of the University of Heidelberg, 39 were taken out and not replaced by a new one. The advantage of such doing was an almost total cure of the infection and a relief of pain. The functional result is the same found in head-neck-resections. The patient's opinion about this method is surprisingly good. It is worth to be considered as an alternative to a replacement of a new prosthesis.