Two-stage revision of infected hip arthroplasty using a shortened post-operative course of antibiotics.

Hdl Handle:
http://hdl.handle.net/10147/205030
Title:
Two-stage revision of infected hip arthroplasty using a shortened post-operative course of antibiotics.
Authors:
McKenna, Paul B; O'Shea, Keiran; Masterson, Eric L
Affiliation:
Department of Orthopaedic Surgery, Mid-Western Regional Orthopaedic Hospital, Croom, Ireland. paul.mckenna@ul.ie
Citation:
Two-stage revision of infected hip arthroplasty using a shortened post-operative course of antibiotics. 2009, 129 (4):489-94 Arch Orthop Trauma Surg
Journal:
Archives of orthopaedic and trauma surgery
Issue Date:
Apr-2009
URI:
http://hdl.handle.net/10147/205030
DOI:
10.1007/s00402-008-0683-x
PubMed ID:
18677498
Additional Links:
http://www.springerlink.com/content/d14w77310l45r4v5/
Abstract:
We present a series of 30 consecutive patients with 31 infected total hip arthroplasties treated by a single surgeon over a 4-year period in whom a shortened post-operative course of antimicrobial chemotherapy was used.; The treatment protocol consisted of a two-stage exchange with removal of infected components, insertion of an interim antibiotic eluting cement spacer and re-implantation of an extensively coated uncemented prosthesis on the femoral side. Systemic antibiotic treatment following each stage consisted of an abridged course of 5 days post-operative intra-venous administration followed by complete cessation of anti-microbial therapy.; At a mean follow-up of 35 months (minimum 24 months), there were no cases of recurrent prosthetic infection and no patient had required revision for aseptic loosening or mechanical instability on the femoral side. The combination of effective-staged surgical joint debridement, a shortened post-operative course of systemic antibiotic treatment and an adequate latent period before re-implantation has led to encourage early results in this series of revised chronic hip joint prosthetic infections.
Item Type:
Article
Language:
en
MeSH:
Adult; Aged; Anti-Bacterial Agents; Arthroplasty, Replacement, Hip; Bone Cements; Debridement; Female; Hip Joint; Hip Prosthesis; Humans; Length of Stay; Male; Middle Aged; Prosthesis-Related Infections; Reoperation; Retrospective Studies
ISSN:
1434-3916

Full metadata record

DC FieldValue Language
dc.contributor.authorMcKenna, Paul Ben
dc.contributor.authorO'Shea, Keiranen
dc.contributor.authorMasterson, Eric Len
dc.date.accessioned2012-01-26T11:07:49Z-
dc.date.available2012-01-26T11:07:49Z-
dc.date.issued2009-04-
dc.identifier.citationTwo-stage revision of infected hip arthroplasty using a shortened post-operative course of antibiotics. 2009, 129 (4):489-94 Arch Orthop Trauma Surgen
dc.identifier.issn1434-3916-
dc.identifier.pmid18677498-
dc.identifier.doi10.1007/s00402-008-0683-x-
dc.identifier.urihttp://hdl.handle.net/10147/205030-
dc.description.abstractWe present a series of 30 consecutive patients with 31 infected total hip arthroplasties treated by a single surgeon over a 4-year period in whom a shortened post-operative course of antimicrobial chemotherapy was used.-
dc.description.abstractThe treatment protocol consisted of a two-stage exchange with removal of infected components, insertion of an interim antibiotic eluting cement spacer and re-implantation of an extensively coated uncemented prosthesis on the femoral side. Systemic antibiotic treatment following each stage consisted of an abridged course of 5 days post-operative intra-venous administration followed by complete cessation of anti-microbial therapy.-
dc.description.abstractAt a mean follow-up of 35 months (minimum 24 months), there were no cases of recurrent prosthetic infection and no patient had required revision for aseptic loosening or mechanical instability on the femoral side. The combination of effective-staged surgical joint debridement, a shortened post-operative course of systemic antibiotic treatment and an adequate latent period before re-implantation has led to encourage early results in this series of revised chronic hip joint prosthetic infections.-
dc.language.isoenen
dc.relation.urlhttp://www.springerlink.com/content/d14w77310l45r4v5/en
dc.subject.meshAdult-
dc.subject.meshAged-
dc.subject.meshAnti-Bacterial Agents-
dc.subject.meshArthroplasty, Replacement, Hip-
dc.subject.meshBone Cements-
dc.subject.meshDebridement-
dc.subject.meshFemale-
dc.subject.meshHip Joint-
dc.subject.meshHip Prosthesis-
dc.subject.meshHumans-
dc.subject.meshLength of Stay-
dc.subject.meshMale-
dc.subject.meshMiddle Aged-
dc.subject.meshProsthesis-Related Infections-
dc.subject.meshReoperation-
dc.subject.meshRetrospective Studies-
dc.titleTwo-stage revision of infected hip arthroplasty using a shortened post-operative course of antibiotics.en
dc.typeArticleen
dc.contributor.departmentDepartment of Orthopaedic Surgery, Mid-Western Regional Orthopaedic Hospital, Croom, Ireland. paul.mckenna@ul.ieen
dc.identifier.journalArchives of orthopaedic and trauma surgeryen
dc.description.provinceMunster-

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