Periprosthetic joint infection in total hip arthroplasty: prevention and management

Abstract

Periprosthetic joint infection is a devastating complication. Orthopaedic surgeons must prevent, anticipate, rapidly diagnose and effectively manage such patients in the multidisciplinary setting. This review discusses current strategies in the management of these patients following total hip arthroplasty.

Single-Stage Hip and Knee Exchange for Periprosthetic Joint Infection

“…8). Patients that meet one or more exclusion criteria will undergo a two-stage exchange arthroplasty [11,19]. The drapes are discarded and the operative team descrubs with the wound protected by the antimicrobial incision drape.…”

Translocation of Clostridial Infection as a Complication of Hip Arthroplasty in the Early Postoperative Period: Case Report

“…Важнейшими этапами являются своевременное выявление перипротезной инфекции, санация парапротезных тканей и проведение эмпирической и затем этиотропной терапии в течение конкретного периода времени. При замене компонентов эндопротеза выбор одноэтапного или многоэтапного реэндопротезирования, а также способа хирургического лечения определяется опытом и предпочтениями конкретной клиники и хирурга [9].…”

Potential clinical implication of 18F‐FDG PET/CT in diagnosis of periprosthetic infection and its comparison with 18F‐Fluoride PET/CT

“…The advent of improved prosthetic materials and surgical techniques had led to a marked decrease in the prevalence of infection and aseptic loosening in patients with hip replacements . Two‐third of prosthetic hip infections develop during the first year after surgery . Aseptic loosening of prostheses is the most frequent complication following hip replacement, but the accurate differentiation between septic and aseptic loosening of prostheses is a major clinical challenge .…”

“…4 Two-third of prosthetic hip infections develop during the first year after surgery. 5 Aseptic loosening of prostheses is the most frequent complication following hip replacement, but the accurate differentiation between septic and aseptic loosening of prostheses is a major clinical challenge. 6 As the management of these two conditions is entirely different, therefore, it is very important to differentiate these two conditions.…”