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. 2008 Oct;32(5):573-80.
doi: 10.1007/s00264-007-0366-1. Epub 2007 May 5.

Total hip arthroplasty for primary septic arthritis of the hip in adults

Chin-En Chen  1 , Jun-Wen Wang, Rei-Jahn Juhn
Affiliations

Total hip arthroplasty for primary septic arthritis of the hip in adults

Chin-En Chen et al. Int Orthop. 2008 Oct.

Abstract
in English, French

Two-stage total hip arthroplasties (THA) performed after primary septic arthritis of hip were studied to evaluate the surgical outcomes and complications. Of 28 cases, the reinfection rate was 14% and complication rate was 36%. At an average follow-up period of 77 months, the outcome in 22 patients (79%) was rated as good or excellent, 4 as fair, and 2 as poor. Leg length discrepancy improved from a preoperative mean of 2.89 cm to a postoperative mean of 0.61 cm. Despite a higher complication rate, two-stage THA was still deemed a worthy procedure because hip function was significantly improved in patients with primary septic arthritis of the hip.

L’arthroplastie totale de la hanche en deux temps après arthrite septique primaire a été étudiée à propos de 28 cas. Le taux de récidive infectieuse était de 14% et celui des complications de 36%. A un suivi de 77 mois le résultat était excellent ou bon pour 22 patients (79%), moyen pour 4 et mauvais pour deux. L’inégalité de longueur des membres s’est améliorée d’une valeur moyenne pré-opératoire de 2,89cm à une valeur moyenne de 0,61cm. En dépit d’un taux de complication élevé l’arthroplastie en deux temps demeure une méthode valable qui améliore significativement la fonction des patients après une arthrite septique primaire de la hanche.

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Figures

Fig. 1
Fig. 1
Radiograph of a 45-year-old man with Viridans streptococcus infection of the left hip. a Preoperative radiograph showing acetabular erosion and joint space narrowing of left hip. b Radiograph showing resection arthroplasty and implantation of gentamycin-loaded cement beads. c At 3-month follow-up, breakage of the femoral stem was noted. d Radiograph taken 5 years after revision of total hip arthroplasty showing no loosening of the prosthesis. The patient was free from infection and had a good result
Fig. 2
Fig. 2
Radiograph of the pelvis in a 52-year-old man with staphylococcal infection. a Radiograph showing right periprosthetic fracture. b Radiograph taken 3 years after plating and wire fixation shows good bone healing. The patient was free from infection and had an excellent result after a 6-year follow-up
See this image and copyright information in PMC

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