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dc.contributor.authorMcKenna, Paul B
dc.contributor.authorO'Shea, Keiran
dc.contributor.authorMasterson, Eric L
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
html.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.
html.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.
html.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.


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