Skip to main content
SpringerLink
Log in

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

  • Original Paper
  • Published:
International Orthopaedics Aims and scope Submit manuscript

Abstract

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.

Résumé

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Bitter ES, Petty W (1982) Girdlestone arthroplasty for infected total hip arthroplasty. Clin Orthop 170:83–87

    Google Scholar 

  2. Carlsson AS (1978) Erythrocyte sedimentation rate in infected and non-infected total hip arthroplasties. Acta Orthop Scand 49:287–290

    Article  PubMed  CAS  Google Scholar 

  3. Charlton WPH, Hozack WJ, Teloken MA, Rao R, Bissett GA (2003) Complications associated with reimplantation after Girdlestone arthroplasty. Clin Orthop 407:119–126

    Article  PubMed  Google Scholar 

  4. Cherney DL, Amstutz HC (1983) Total hip replacement in the previously septic hip. J Bone Joint Surg Am 65:1256–1265

    PubMed  CAS  Google Scholar 

  5. Duncan CP, Masri BA (1995) The role of antibiotic-loaded cement in the treatment of an infection after a hip replacement. Instr Course Lect 44:305–313

    PubMed  CAS  Google Scholar 

  6. Evrard J, Soudrie B (1993) Primary septic arthritis of the hip in adults. Int Orthop 17:367–374

    Article  PubMed  CAS  Google Scholar 

  7. Galante JO (1998) Overview of total hip arthroplasty. In: Callaghan JJ (ed) The ault hip. Lippincott-Raven Publishers, Philadelphia, pp 829–832

    Google Scholar 

  8. Girdlestone GR (1943) Acute pyogenic arthritis of the hip, an operation giving free access and effective drainage. Lancet 1:419

    Article  Google Scholar 

  9. Grauer JD, Amstutz HC, O’Carroll PF, Dorey FJ (1989) Resection arthroplasty of the hip. J Bone Joint Surg Am 71:669–678

    PubMed  CAS  Google Scholar 

  10. Gross AE (1995) Reconstruction of the acetabulum. In: Galante, Rosenberg (eds) Total hip revision surgery. Raven Press, New York, pp 335–345

    Google Scholar 

  11. Khatod M, Barber T, Paxton E, Namba R, Fithian D (2006) An analysis of the risk of hip dislocation with a contemporary total joint registry. Clin Orthop 447:19–23

    Article  PubMed  Google Scholar 

  12. Kim YH (1991) Total arthroplasty of the hip after childhood sepsis. J Bone Joint Surg Br 73:783–786

    PubMed  CAS  Google Scholar 

  13. Marchetti PG, Baldini ATN, Binazzi R et al (1987) Clinical evaluation of 104 hip resection arthroplasties after removal of a total hip prosthesis. J Arthroplasty 2:37–41

    Article  PubMed  CAS  Google Scholar 

  14. Mcelwaine JP, Colville J (1984) Excision arthroplasty for infected total hip replacement. J Bone Joint Surg Br 66:168–171

    PubMed  CAS  Google Scholar 

  15. Milgram JW, Rana NA (1991) Resection arthroplasty for septic arthritis of the hip in ambulatory and nonambulatory adult patients. Clin Orthop 272:181–191

    PubMed  Google Scholar 

  16. Petty W, Goldsmith S (1980) Resection arthroplasty following infected total hip arthroplasty. J Bone Joint Surg Am 62: 889–896

    PubMed  CAS  Google Scholar 

  17. Teloken MA, Bissett G, Hozack WJ, Sharkey PF, Rothman RH (2002) Ten to 15-year follow-up after total hip arthroplasty with a tapered cobalt-chromium femoral component (tri-lock) inserted without cement. J Bone Joint Surg Am 84:2140–2144

    PubMed  Google Scholar 

  18. Wang JW (1997) Uncemented total arthroplasty in old quiescent infection of the hip. J Formos Med Assoc 96:634–640

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Orthopedic Surgery, Guo Ren Hospital, No. 12-2, Minsheng E. Rd 900, Pingtung, Taiwan, Republic of China

    Chin-En Chen & Rei-Jahn Juhn

  2. Orthopedic Surgery, Chang Gung Memorial Hospital, Kaohsiung, Taiwan, Republic of China

    Jun-Wen Wang

Authors
  1. Chin-En Chen
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Jun-Wen Wang
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Rei-Jahn Juhn
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Chin-En Chen.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Chen, CE., Wang, JW. & Juhn, RJ. Total hip arthroplasty for primary septic arthritis of the hip in adults. International Orthopaedics (SICO 32, 573–580 (2008). https://doi.org/10.1007/s00264-007-0366-1

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00264-007-0366-1

Keywords

Search

Navigation