Single-stage Acetabular Revision During Two-stage THA Revision for Infection is Effective in Selected Patients

Abstract

Level IV, therapeutic study.

Pros and Cons of Spacers in the Treatment of Late Periprosthetic Infections of the Hip

“…We found a successful outcome with no recurrence of reinfection in 97.1% of all cases. The Harris Hip Score was 61.2±12.8 points after the first operation and 82.4±15.7 points two years after the second operation [34].…”

“…This approach enables an effective debridement of the infected femoral component bed and of the osteolytic areas that are often present, while limiting any injury to the trochanter major, the vasto-gluteal muscle loop and the isthmus femoris which represents the area of fixation for the cementless revision stem implanted during the second stage. The endofemoral approach for removing a well-fixed femoral component does not always enable a reproducible debridement of the osteolytic areas and has a higher risk of femoral fracture [32][33][34]. The transfemoral approach avoids this risk [32][33][34].…”

“…The endofemoral approach for removing a well-fixed femoral component does not always enable a reproducible debridement of the osteolytic areas and has a higher risk of femoral fracture [32][33][34]. The transfemoral approach avoids this risk [32][33][34]. However, it is important that the femoral spacer is long enough to extend beyond the boundaries of the resulting bony flap and that the whole is sufficiently stable.…”

What’s New in Musculoskeletal Infection: Update on Biofilms

“…A PJI caused by a sensitive organism in a nonimmunocompromised patient with a well-fixed implant and no draining sinuses can be successfully treated with 1-stage exchange arthroplasty [67][68][69] . When partial 2-stage exchange arthroplasty after total hip arthroplasty was performed, whereby either the well-fixed acetabular cup or stem was retained, the success rate was reported as 81.3% among 16 patients 70 .…”

The Surgical Treatment of Patients With Periprosthetic Infection After Arthroplasty of a Hip Joint With the Use of Personified Articulating Spacers, Created With a 3d Printing

“…Ключевые слοва: эндопротезирοвание тазобедреннοго сустава, инфекциοнные осложнения, кοстный дефект, спейсер, 3D печать, аддитивные технοлогии Регистрируемое в последние годы увеличение частоты инфекционных ослοжнений после эндопротезирοвания тазобедренного сустава связано с увеличением кοличества оперативных вмешательств, нарушениями иммуннoго статуса пациентов, появлением большого количества антибиотикоустойчивых штаммов возбудителей этих осложнений [1][2][3]. До 40% случаев ревизионного эндοпротезирования заканчивается развитием перипрοтезной инфекции [4,5]. Вышеизложенное способствовало активному поиску подходов к решению этих проблем.…”