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ORIGINAL ARTICLE
Year : 2016  |  Volume : 51  |  Issue : 2  |  Page : 101-110

Single-stage versus two-stage revision of total hip replacement for contained periprosthetic infection


Department of Orthopedic and Trauma Surgery, Menoufia University Hospital, Menoufia, Egypt

Correspondence Address:
Ayman M Ebied
Number 3, El Zahraa Tower, Gamal Abdul Naser Street, Sharaf Square, Shebin El Kom
Egypt
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1110-1148.203142

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Objective In this article, single-stage exchange arthroplasty for periprosthetic hip infection was compared with the two-stage revision protocol in patients without draining sinuses. Background Staged revision for periprosthetic infection of the hip is an accepted and widely used technique by many surgeons. However, single-stage exchange of the hip prosthesis remains an attractive option to some. Patients and methods Fifty-two patients with evidence of periprosthetic infection underwent preoperative aspiration of the affected hip. The organism was identified in 33/52 patients, and single-stage revision was performed. The remaining 19 patients underwent two-stage exchange arthroplasty. All patients had cemented cup and long cementless stem. Results At an average 4 years (range: 2–7 years) postoperatively, only one case of persistent infection was found in the single-stage group, which showed a success rate of 97%, in comparison with 95% success rate in the staged protocol. Conclusion Single-stage exchange achieves excellent success rates in patients with contained infection when the organism is identified preoperatively.


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