The outcome of two-stage arthroplasty using a custom-made interval spacer to treat the infected hip

J Arthroplasty. 1997 Sep;12(6):615-23. doi: 10.1016/s0883-5403(97)90133-9.

Abstract

Sixty-one patients undergoing a two-stage revision of an infected hip using a prosthesis of antibiotic-loaded acrylic cement were followed for an average of 43 months. Twelve patients were excluded (3 died, 6 had no proven infection, and 2 no second stage). Only 1 patient was lost to follow-up evaluation from those included, for a retrieval rate of 98% for those still living. Of the remaining 48 patients, 3 had further sepsis: Two became reinfected with different organisms and 1 with the same organism, for an infection eradication rate of 94%. The other 45 had no clinical, laboratory, or radiographic evidence of infection. Thirty-seven patients (80%) had a Harris hip score greater than 80 or an improvement of at least 30 points.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Arthritis, Infectious / surgery
  • Arthroplasty, Replacement, Hip / adverse effects*
  • Arthroplasty, Replacement, Hip / methods*
  • Female
  • Hip Prosthesis
  • Humans
  • Male
  • Middle Aged
  • Prosthesis-Related Infections / surgery*
  • Reoperation
  • Retrospective Studies
  • Treatment Outcome