Abstract
The incidence of primary total hip arthroplasty (THA) is estimated to increase 174 % to 552,000 procedures by the year 2030 and the demand for revision hip surgery may double by 2026 (J Bone Joint Surg Am 89(4):780–5, 2007). Periprosthetic joint infections (PJI) are estimated to occur in 1 % of primary THA and 4 % of revision THA procedures (J Bone Joint Surg Am 87(7):1487–97, 2005; Clin Orthop Relat Res 468(1):52–6, 2010). Thus, it can be extrapolated that the treatment of PJI will become much more common in the future (J Arthroplasty 5(8):1216–22e1-3, 2010). Once diagnosed, a chronic deep infection can be treated by one of several methods. Chronic suppression, irrigation and debridement, single-stage exchange, and two-stage exchange have all been described in the treatment of PJI (Clin Orthop Relat Res 369:139–43, 1999; J Bone Joint Surg Am 65(1):128–34, 1983; Orthop Clin North Am 24(4):761–7, 1993; J Arthroplasty 3(2):109–16, 1988; Clin Orthop Relat Res 414:55–60, 2003; J Bone Joint Surg Br. 1981;63-B(3):342–53; Clin Orthop Relat Res 211:103–7, 1986). Two-stage exchange is the generally accepted standard-of-care in North America (J Arthroplasty 19(6):768–74, 2004; J Arthroplasty 20(7):874–9, 2005; Clin Orthop Relat Res 2005;441:243–9; J Arthroplasty 2009;24(8):1264–9; J Arthroplasty 2007;22(1):72–8; Clin Orthop Relat Res 2009;467(1):219–24; J Bone Joint Surg Am 2011;93(7):631–9; J Bone Joint Surg Am 1998;80(1):60–9).
Keywords
- Periprosthetic Joint Infection
- Extended Trochanteric Osteotomy
- Reimplantation Surgery
- Antibiotic Load
- Follow Revision Surgery
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
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- ETO:
-
Extended trochanteric osteotomy
- MRSA:
-
Methicillin-resistant Staphy-lococcus aureus
- MSIS:
-
Musculoskeletal Infection Society
- MSSE:
-
Methicillin sensitive Staphy-lococcus aureus
- PJI:
-
Periprosthetic joint infection
- PROSTOLAC:
-
Prosthesis of antibiotic loaded cement
- THA:
-
Total hip arthroplasty
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Kerr, G.J., Austin, M.S. (2014). Two-Stage Exchange Hip Arthroplasty: Articulating Spacers. In: Springer, B., Parvizi, J. (eds) Periprosthetic Joint Infection of the Hip and Knee. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-7928-4_14
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