Ten-Year Results Following One-Stage Septic Hip Exchange in the Management of Periprosthetic Joint Infection

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dc.contributor.authorZahar, Akos
dc.contributor.authorKlaber, Ianiv
dc.contributor.authorGerken, Anne-Marie
dc.contributor.authorGehrke, Thorsten
dc.contributor.authorGebauer, Matthias
dc.contributor.authorLausmann, Christian
dc.contributor.authorCitak, Mustafa
dc.date.accessioned2025-01-23T21:14:31Z
dc.date.available2025-01-23T21:14:31Z
dc.date.issued2019
dc.description.abstractBackground: Although 2-stage revision is still considered the gold standard for surgical management of periprosthetic joint infection (PJI), 1-stage revision has been reported to be as effective. Long-term reports for 1-stage revision in hip PJIs are lacking.
dc.description.abstractMethods: We reviewed our 10-11 years of results of 85 patients who underwent 1-stage exchange of the hip with an antibiotic-loaded bone cemented prosthesis due to PJI to determine the following: (1) What is the infection-free survival? (2) What is the overall survival? and (3) What are the long-term clinical outcomes? All 1-stage revision total hip arthroplasties (THAs) for infection between January 2006 and December 2007, with a minimum 10-year follow-up (range 10-11), were included in this retrospective cohort. Patients from another country or patients who were unable to participate were excluded. Eighty-five patients with a hip PJI were available at the last follow-up. Thirty-seven patients died during the 10-year study. Harris Hip Scores were recorded before the surgery and at last follow-up. Failures are reported as infection-related or aseptic.
dc.description.abstractResults: The 10-year infection-free survival was 94% and the surgery-free survival was 75.9%. The Harris Hip Scores improved from 43 (range 3-91) to 75 (range 10-91) (P < .001). The main indication for rerevision after 1-stage exchange was instability (10/20 patients).
dc.description.abstractConclusion: One-stage exchange of the hip for PJI is a reliable treatment option with high rate of infection control and long-lasting favorable outcomes. (C) 2019 Elsevier Inc. All rights reserved.
dc.fuente.origenWOS
dc.identifier.doi10.1016/j.arth.2019.02.021
dc.identifier.eissn1532-8406
dc.identifier.issn0883-5403
dc.identifier.urihttps://doi.org/10.1016/j.arth.2019.02.021
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/101044
dc.identifier.wosidWOS:000468307600032
dc.issue.numero6
dc.language.isoen
dc.pagina.final1226
dc.pagina.inicio1221
dc.revistaJournal of arthroplasty
dc.rightsacceso restringido
dc.subjectrevision hip arthroplasty
dc.subjectperiprosthetic joint infection
dc.subjecttotal joint replacement
dc.subjectbone cement
dc.subjectone-stage exchange
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleTen-Year Results Following One-Stage Septic Hip Exchange in the Management of Periprosthetic Joint Infection
dc.typeartículo
dc.volumen34
sipa.indexWOS
sipa.trazabilidadWOS;2025-01-12
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