Kristoffer Riemer er lege i spesialisering i ortopedisk kirurgi. Forfatter har fylt ut ICMJE-skjemaet og oppgir ingen interessekonflikter. OVE HAUKENES Kirurgisk avdeling Voss sjukehus Ove Haukenes er spesialist i ortopedisk kirurgi og overlege. Forfatter har fylt ut ICMJE-skjemaet og oppgir ingen interessekonflikter. ANNA KOZAK Røntgenavdelinga Voss sjukehus Anna Kozak er spesialist i radiologi og overlege. Forfatter har fylt ut ICMJE-skjemaet og oppgir ingen interessekonflikter.
Abstract. Background: Early periprosthetic hip joint infection (PJI) is traditionally treated with
debridement, antibiotics, and implant retention (DAIR). However, infection
control rates after DAIR-treated periprosthetic hip joint infection do not exceed 77 %.
Cementless one-stage revision of chronic PJI by the Cementless One-stage Revision of Infected Hip Arthroplasty (CORIHA) protocol has been evaluated positively with a 91 % success rate. We wanted to evaluate the
effectiveness of cementless one-stage revision following the CORIHA protocol
for early PJI in elective primary total hip arthroplasty, regarding risk of
re-operation with exchange of implants. Methods: We identified 18 patients in our center with early (≤6-week postoperative) PJI after primary total hip arthroplasty (THA) treated with one-stage cementless
revision in the period January 2012–March 2018. Treatment followed the
CORIHA protocol. Primary outcome was retention of implants at the most recent follow-up. Patients were followed for a minimum of 3 years. Results: Mean follow-up time was 60 months (39–105). All patients retained their
implants, but two required superficial soft tissue debridement due to
persistent wound seepage. Conclusion: Cementless one-stage revision appears to be an effective treatment of early
PJI after primary THA and at least an equal choice of treatment compared with DAIR. Whether the potential benefit of a lower re-revision rate for
postoperative PJI outweighs the increased surgical complexity of the CORIHA
procedure needs further evaluation.
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