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Two-stage hip revision arthroplasty: the role of the excision arthroplasty

Reprise d’arthroplastie de hanche en deux temps:rôle de l’explantation simple

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Abstract

Between 1995 and 2003, 41 septic hips in 40 consecutive patients (20 males, 20 females) were treated with a two-stage total-hip-arthroplasty revision. Seventeen patients with 18 relevant procedures (44%) were reviewed at a mean follow-up of 52 months. In 5 hips, an excision arthroplasty was present at review. Reimplantation had been performed in 13 hips. The interval between explantation and reimplantation averaged 158 days. The average age was 68 years and the mean ASA score 3.24 at explantation. Mean Harris Hip score was 60 points, the mean Mayo Hip Score 66 points. We found no significance (Harris Hip Score, t test) between results after reimplantation and with long-term excision arthroplasty. The excision arthroplasty as a long-term solution can be an alternative to reimplantation in the treatment of critically ill patients.

Résumé

Entre 1995 et 2003, 41 hanches infectées correspondant à 40 patients consécutifs (20 hommes et 20 femmes) ont été traitées par révision d’arthroplastie en deux temps.17 patients avec 18 reprises pertinentes (44 %) ont été revus avec un recul moyen de 52 mois. Dans 5 hanches l’excision sans réimplantation existait au moment du contrôle. La réimplantation avait été réalisée dans 13 hanches. L’intervalle entre explantation et réimplantation était en moyenne de 158 jours. L’âge moyen était de 68 ans et le score ASA moyen de 3.24 lors de l’explantation. Le score de Harris moyen était de 60 points, le score de hanche Mayo moyen de 66 points. Nous n’avons pas noté de différence significative entre les résultats (Score de hanche de Harris, t-test) après réimplantation et ceux après explantation sans réimplantation à long terme. L’explantation sans réimplantation peut être une bonne alternative à la réimplantation chez des patients âgés à l’état général critique.

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Correspondence to Bergita Ganse.

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Ganse, B., Behrens, P. & Benthien, J.P. Two-stage hip revision arthroplasty: the role of the excision arthroplasty. Eur J Orthop Surg Traumatol 18, 223–228 (2008). https://doi.org/10.1007/s00590-007-0290-5

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  • DOI: https://doi.org/10.1007/s00590-007-0290-5

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