Two-stage cementless revision THR after infection. 5 recurrences in 40 cases followed 2.5-7 years

Kuo-An Lai, Wun Jer Shen, Chyun-Yu Yang, Ruey Mo Lin, Chii-Jeng Lin, I. Ming Jou

Research output: Contribution to journalArticle

56 Citations (Scopus)

Abstract

We revised 40 infected hip prostheses in 40 patients as a two-stage procedure, including intravenous and oral antibiotics, gentamicin beads, and delayed cementless implantation of porous-coated THR. The duration of antibiotic treatment was 8 weeks. The interval from resection to reimplantation was, on average, 48 (8-108) weeks, 39 patients were followed, on average, 4 (2.5-7) years. 5 patients had a recurrent infection. In patients who did not have a recurrent infection, the Harris hip score exceeded 80 in 32 patients. Radiographically, femoral component migration of 2-6 mm was noted in 3 cases. The recurrent infection rate, and the functional and radiographic results are comparable with those obtained using a two-stage procedure with antibiotic cement.

Original languageEnglish
Pages (from-to)325-328
Number of pages4
JournalActa Orthopaedica Scandinavica
Volume67
Issue number4
DOIs
Publication statusPublished - 1996 Jan 1

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Recurrence
Infection
Anti-Bacterial Agents
Hip Prosthesis
Replantation
Thigh
Gentamicins
Hip
Therapeutics

All Science Journal Classification (ASJC) codes

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

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abstract = "We revised 40 infected hip prostheses in 40 patients as a two-stage procedure, including intravenous and oral antibiotics, gentamicin beads, and delayed cementless implantation of porous-coated THR. The duration of antibiotic treatment was 8 weeks. The interval from resection to reimplantation was, on average, 48 (8-108) weeks, 39 patients were followed, on average, 4 (2.5-7) years. 5 patients had a recurrent infection. In patients who did not have a recurrent infection, the Harris hip score exceeded 80 in 32 patients. Radiographically, femoral component migration of 2-6 mm was noted in 3 cases. The recurrent infection rate, and the functional and radiographic results are comparable with those obtained using a two-stage procedure with antibiotic cement.",
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Two-stage cementless revision THR after infection. 5 recurrences in 40 cases followed 2.5-7 years. / Lai, Kuo-An; Shen, Wun Jer; Yang, Chyun-Yu; Lin, Ruey Mo; Lin, Chii-Jeng; Jou, I. Ming.

In: Acta Orthopaedica Scandinavica, Vol. 67, No. 4, 01.01.1996, p. 325-328.

Research output: Contribution to journalArticle

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