Evaluation of ninety-six periprosthetic hip joint infections seen within five consecutive years
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Kurzfassung
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Periprosthetic hip joint infections (PHJI) are severe complications.
In 2003 Zimmerli published a well-noted treatment algorithm for
PHJI. The aim of this study is to evaluate outcome, analyze the
applied treatment regimen and compare it to the proposed algorithm.
We evaluated the outcome of 96 PHJI treated at our institution
between 2008 and 2012 and analysed adherence to the algorithm and
outcome in coherence with the algorithm. The operations performed
were irrigation and debridement with exchange of mobile parts (45%),
two-stage exchange (36%), one-stage exchange (12%) and permanent
explantation (7%). 47% were acute infections, 53% were chronic.
Staphylococcus aureus was the most common pathogen. The overall
success rate was 88%. In 12% of the cases the chosen operation
didn't follow the algorithm. Of these only 10% was successfully
treated with the primary operation. We find that the algorithm
proposed by Zimmerli is a useful tool and easy to translate into
clinical practice. When followed it yields a high success rate.
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Zitation
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Larsson P, Erschbamer M, Spross C, Grob K, Jost B, Erhardt J.
Evaluation of ninety-six periprosthetic hip joint infections seen
within five consecutive years. Acta Orthop Belg 2018; 84:298-306.
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Typ
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Wissenschaftlicher Artikel/Review (Englisch)
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Veröffentlichungsdatum
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9-2018
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Titel der Zeitschrift
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Acta Orthop Belg (84/3)
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ISSN print
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0001-6462
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Seiten
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298-306
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PubMed
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30840572
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