Cementless fixation in 2-stage reimplantation for periprosthetic sepsis

J Arthroplasty. 1999 Feb;14(2):175-81. doi: 10.1016/s0883-5403(99)90122-5.

Abstract

Twenty-five patients with documented infection of the hip were reviewed. All patients underwent reconstruction in a 2-stage fashion with cementless implants. The average follow-up in this group was 41 months. The average time to reimplantation was 4.8 months. Of the 25 living patients, 22 retained their implants. There were 2 recurrences of infection, for an infection recurrence rate of 8% (2 of 25). The average postoperative Harris Hip Score was 81. Bone ingrowth was confirmed radiographically via the Engh fixation score in all but 1 of the surviving implants. Cementless fixation in 2-stage reimplantation can result in acceptable eradication rates, while supplying predictable fixation, provided that appropriate cementless revision implants are used.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Arthroplasty, Replacement, Hip / methods*
  • Cementation
  • Follow-Up Studies
  • Humans
  • Middle Aged
  • Prosthesis-Related Infections / surgery*
  • Recurrence
  • Reoperation