RESEARCH ARTICLE


One-Stage Revision Arthroplasty for Infected Hip Replacements



Ernesto Muñoz-Mahamud*, 1, 2, Xavier Gallart 1, Alejandro Soriano 2, 3
1 Orthopaedics and Trauma Surgery Department, Hospital Clinic, University of Barcelona, C/Villarroel 170, Barcelona 08036, Barcelona, Spain
2 Bone and Joint Infection Unit, Hospital Clinic, University of Barcelona, C/Villarroel 170, Barcelona 08036 Barcelona, Spain
3 Infectious Diseases Department, Hospital Clinic, University of Barcelona, C/Villarroel 170, Barcelona 08036, Barcelona, Spain


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© Muñoz-Mahamud et al.; Licensee Bentham Open.

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

* Address correspondence to this author at the Orthopaedics and Trauma Surgery Department, Bone and Joint Infection Unit, Hospital Clinic, University of Barcelona, C/Villarroel 170, Barcelona 08036, Barcelona, Spain; Tel: 00+34+932275400; Fax: 00+34+932279871; E-mail: e.munoz.mahamud@gmail.com


Abstract

Infection remains a serious complication after total hip arthroplasty (THA) and is a leading cause of hip revision surgery. It is currently accepted that removal of the prosthesis is essential to curing an infection when facing chronic PJIs with prosthesis loosening. In order to avoid the disadvantages of a two-stage approach, some authors have proposed a one-stage hip revision for the treatment of hip prosthesis infection in selected patients using not only antibiotic-loaded cemented components but also cementless implant. In the case of a one-stage procedure, the patient is exposed to a single major procedure and therefore lower cumulative perioperative risk. A functional prosthesis replacement is completed without exposure to the complications associated with spacers. In addition, there are also benefits both financially and in terms of resource allocation.

Keywords: Infection, arthroplasty, hip, replacement..