scholarly journals Two‐Stage Revision Hip Arthroplasty with or without the Use of an Interim Spacer for Managing Late Prosthetic Infection: A Systematic Review of the Literature

2021 ◽  
Vol 13 (2) ◽  
pp. 384-394
Author(s):  
Angshuman Khanna ◽  
Bernie Carter ◽  
Inder Gill
Keyword(s):  
Systematic Review ◽  
Hip Arthroplasty ◽  
Revision Hip Arthroplasty ◽  
Review Of The Literature ◽  
Prosthetic Infection ◽  
Two Stage

scholarly journals Single- or Two-stage Revision for Infected Total Hip Arthroplasty? A Systematic Review of the Literature

2013 ◽  
Vol 472 (3) ◽  
pp. 1036-1042 ◽  
Author(s):  
Hugh A. C. Leonard ◽  
Alexander D. Liddle ◽  
Órlaith Burke ◽  
David W. Murray ◽  
Hemant Pandit
Keyword(s):  
Systematic Review ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Review Of The Literature ◽  
Two Stage ◽  
Total Hip

Trochanteric pain and total hip arthroplasty: a systematic review of the literature

2020 ◽  
Vol 31 (4) ◽  
pp. 400-407
Author(s):  
Daniel Axelrod ◽  
Kim Madden ◽  
Habeeb Khan ◽  
Laura Banfield ◽  
Mitchell Winemaker ◽  
...  
Keyword(s):  
Systematic Review ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Review Of The Literature ◽  
Total Hip

scholarly journals Survivorship and clinical outcomes of proximal femoral replacement in non-neoplastic primary and revision total hip arthroplasty: a systematic review

2021 ◽  
Vol 22 (S2) ◽  
Author(s):  
Fabio Mancino ◽  
Vincenzo Di Matteo ◽  
Fabrizio Mocini ◽  
Giorgio Cacciola ◽  
Giuseppe Malerba ◽  
...  
Keyword(s):  
Systematic Review ◽  
Total Hip Arthroplasty ◽  
Bone Loss ◽  
Clinical Outcomes ◽  
Hip Arthroplasty ◽  
Complication Rate ◽  
Reoperation Rate ◽  
Revision Total Hip Arthroplasty ◽  
Femoral Bone ◽  
Review Of The Literature

Abstract Background Several studies have evaluated the survivorship and clinical outcomes of proximal femoral replacement (PFR) in complex primary and revision total hip arthroplasty with severe proximal femoral bone loss; however, there remains no consensus on the overall performance of this implant. We therefore performed a systematic review of the literature in order to examine survivorship and complication rates of PFR usage. Methods A systematic review of the literature according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines was performed. A comprehensive search of PubMed, MEDLINE, EMBASE, and the Cochrane Database of Systematic Reviews was conducted for English articles using various combinations of keywords. Results In all, 18 articles met the inclusion criteria. A total of 578 PFR were implanted. The all-cause reoperation-free survivorship was 76.6%. The overall complication rate was 27.2%. Dislocation was the most common complication observed and the most frequent reason for reoperation with an incidence of 12.8 and 7.6%, respectively. Infection after PFR had an incidence of 7.6% and a reoperation rate of 6.4%. The reoperation rate for aseptic loosening of the implant was 5.9%. Overall, patients had improved outcomes as documented by postoperative hip scores. Conclusion PFR usage have a relatively high complication rate, however, it remains an efficacious treatment option in elderly patients with osteoporotic bone affected by severe proximal femoral bone loss. Modular designs have shown reduced dislocations rate and higher survivorship free from dislocation. However, PFR should only be used as salvage procedure when no other reconstruction options are available.

scholarly journals Two stage revision hip arthroplasty in periprosthetic joint infection. Comparison study: with or without the use of a spacer

2017 ◽  
Vol 41 (11) ◽  
pp. 2253-2258 ◽  
Author(s):  
Dariusz Marczak ◽  
Marek Synder ◽  
Marcin Sibiński ◽  
Michał Polguj ◽  
Julian Dudka ◽  
...  
Keyword(s):  
Hip Arthroplasty ◽  
Periprosthetic Joint Infection ◽  
Joint Infection ◽  
Revision Hip Arthroplasty ◽  
Comparison Study ◽  
Two Stage

scholarly journals Reduced re-infection rates with postoperative oral antibiotics after two-stage revision hip arthroplasty

2013 ◽  
Vol 14 (1) ◽  
Author(s):  
Aaron J Johnson ◽  
Michael G Zywiel ◽  
Lynne C Jones ◽  
Ronald E Delanois ◽  
D Alex Stroh ◽  
...  
Keyword(s):  
Hip Arthroplasty ◽  
Revision Hip Arthroplasty ◽  
Oral Antibiotics ◽  
Infection Rates ◽  
Two Stage

The Influence of Spacer Design on the Rate of Complications in Two-Stage Revision Hip Arthroplasty

2019 ◽  
Vol 34 (6) ◽  
pp. 1201-1206 ◽  
Author(s):  
Christopher W. Jones ◽  
Nicolas Selemon ◽  
Allina Nocon ◽  
Mathias Bostrom ◽  
Geoffrey Westrich ◽  
...  
Keyword(s):  
Hip Arthroplasty ◽  
Revision Hip Arthroplasty ◽  
Two Stage

Hip Arthroplasty After Hip Arthroscopy: Are Short-term Outcomes Affected? A Systematic Review of the Literature

2019 ◽  
Vol 35 (9) ◽  
pp. 2736-2746 ◽  
Author(s):  
Philip J. Rosinsky ◽  
Cynthia Kyin ◽  
Jacob Shapira ◽  
David R. Maldonado ◽  
Ajay C. Lall ◽  
...  
Keyword(s):  
Systematic Review ◽  
Hip Arthroplasty ◽  
Hip Arthroscopy ◽  
Review Of The Literature ◽  
Short Term

scholarly journals Two-Stage Revision Arthroplasty for Periprosthetic Hip Infection: Mean Follow-Up of Ten Years

2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Szu-Yuan Chen ◽  
Chi-Chien Hu ◽  
Chun-Chieh Chen ◽  
Yu-Han Chang ◽  
Pang-Hsin Hsieh
Keyword(s):  
Hip Arthroplasty ◽  
Cox Regression ◽  
Joint Infection ◽  
Revision Arthroplasty ◽  
Revision Hip Arthroplasty ◽  
Harris Hip Score ◽  
Two Stage ◽  
Eradication Of Infection ◽  
The Mean

Background. Two-stage revision hip arthroplasty is the gold standard for treatment of patients with chronic periprosthetic joint infection (PJI), but few studies have reported outcomes beyond short-term follow-up.Methods. A total of 155 patients who underwent two-stage revision arthroplasty for chronic PJI in 157 hips were retrospectively enrolled in this study between January 2001 and December 2010. The mean patient age was 57.5 years, the mean prosthetic age was 3.6 years, and the interim interval was 17.8 weeks. These patients were followed up for an average of 9.7 years.Results. At the latest follow-up, 91.7% of the patients were free of infection. The mean Harris hip score improved significantly from 28.3 points before operation to 85.7 points at the latest follow-up. Radiographically, there was aseptic loosening of the stem or acetabular components in 4 patients. In the multivariate survival analysis using a Cox regression model, repeated debridement before final reconstruction, an inadequate interim period, bacteriuria or pyuria, and cirrhosis were found to be the independent risk factors for treatment failure.Conclusion. Our data show that two-stage revision hip arthroplasty provides reliable eradication of infection and durable reconstruction of the joint in patients with PJI caused by a variety of pathogens.

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