Should well-fixed uncemented femoral components be revised in infected hip arthroplasty? Report of five trial cases

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• 作者：Kiyokazu Fukui ; ^{66406kf@kanazawa-med.ac.jp" class="auth_mail" title="E-mail the corresponding author} ; Ayumi Kaneuji ; Syusuke Ueda ; Tadami Matsumoto
• 关键词：Infected hip arthroplasty ; Two-stage revision ; Uncemented femoral component retention ; Fluorodeoxyglucose positron-emission tomography ; FDG-PET
• 刊名：Journal of Orthopaedics
• 出版年：2016
• 出版时间：December 2016
• 年：2016
• 卷：13
• 期：4
• 页码：437-442
• 全文大小：1294 K

文摘

Well-fixed femoral component removal remains difficult and complicated.

Methods

We report herein the outcomes of two-stage surgery involving retention of bone-ingrown uncemented stems, aggressive soft-tissue debridement, and delayed reimplantation of an acetabular component in 5 patients for infected hip arthroplasty.

Results

By a mean follow-up point of 4.2 years after the second-stage operation, none of the 5 patients experienced recurrence of infection, and the mean Harris hip score had improved from 63 to 86 points by the latest follow-up evaluation.

Conclusion

Two-stage revision with retention of well-fixed uncemented stems could be an alternative treatment option in hip periprosthetic infection.