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One-stage cementless revision arthroplasty for infected hip replacements

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Abstract

We hypothesised that one-stage cementless revision hip arthroplasty may have advantages and a role in the treatment of selected patients with an infected hip replacement. We retrospectively reviewed all patients with an infected hip replacement treated with one-stage revision using cementless implants. Twelve patients were reviewed and followed up for at least three years (average: 7.2 years, range: 3.3–11.3 years) postoperatively. One recurrence of infection and one aseptic stem loosening were detected during follow-up. Grafted bone, which was used in eight patients, appeared to have united to host bone in all patients. The success rate of treatment was 83.3% when infection recurrence or component loosening were regarded as failure. One-stage revision hip arthroplasty using cementless implants appears to have a role in the treatment of carefully selected patients with an infected hip replacement if meticulous débridement is performed and appropriate antibiotics are properly used.

Résumé

Notre hypothèse de travail était la suivante: le changement en un temps par une prothèse sans ciment d’une prothèse totale de hanche infectée, est la bonne indication thérapeutique. Matériel et méthode: nous avons revu de façon rétrospective tous les patients présentant une hanche infectée traitée par une révision en un temps en utilisant un implant sans ciment. 12 patients ont été revus et suivis pendant au moins 3 ans (7,2 ans en moyenne, 3,3 et 11,3 ans post-opératoire). Résultats: nous avons observé une récidive d’infection et un descellement aseptique durant cette période de suivi. L’os greffé chez 8 patients nous apparaît comme ayant consolidé à l’os hôte chez tous les patients. Le pourcentage de succès thérapeutique est de 83,3% si l’on regarde la récurrence de l’infection ou le descellement aseptique. En conclusion: les révisions en un temps en utilisant un implant sans ciment nous apparaissent comme un traitement de choix chez les patients sélectionnés avec soin et présentant une infection de prothèse totale de hanche.

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Acknowledgement

This work was supported by grants from the Korean Human Technology Research Foundation (KOHTERF-2008–01) and the Seoul National University Hospital Research Fund (06–03–063).

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Seoul National University Hospital, Seoul National University College of Medicine, 28 Yeongeon-dong, Jongno-gu, Seoul, 110-744, South Korea

    Jeong Joon Yoo, Young Sam Kwon, Kyung-Hoi Koo, Kang Sup Yoon, Young-Min Kim & Hee Joong Kim

  2. Medical Research Center, Seoul National University, 28 Yeongeon-dong, Jongno-gu, Seoul, 110-744, Korea

    Hee Joong Kim

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  1. Jeong Joon Yoo
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  2. Young Sam Kwon
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  3. Kyung-Hoi Koo
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  4. Kang Sup Yoon
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  5. Young-Min Kim
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Correspondence to Hee Joong Kim.

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Yoo, J.J., Kwon, Y.S., Koo, KH. et al. One-stage cementless revision arthroplasty for infected hip replacements. International Orthopaedics (SICOT) 33, 1195–1201 (2009). https://doi.org/10.1007/s00264-008-0640-x

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