| Issue |
SICOT-J
Volume 5, 2019
|
|
|---|---|---|
| Article Number | 5 | |
| Number of page(s) | 6 | |
| Section | Hip | |
| DOI | https://doi.org/10.1051/sicotj/2019004 | |
| Published online | 28 February 2019 | |
Review Article
Periprosthetic joint infections after total hip replacement: an algorithmic approach
1
Foothills Medical Centre, 1403 29 St NW Calgary, AB T2N 2T9, Canada
2
University College London Hospital, 235 Euston Road, London NW1 2BU, UK
* Corresponding author: msukeik@hotmail.com
Received:
5
June
2018
Accepted:
28
January
2019
An algorithm for managing periprosthetic joint infections (PJIs) after total hip replacement (THR) surgery using a multidisciplinary approach and a clearly defined protocol may improve infection eradication rates. In this article, we present an algorithm for the management of different types of PJIs including the acutely infected cemented and cementless THRs where the components are well-fixed postoperatively and when the infection is secondary to haematogenous spread in previously well-functioning and well-fixed implants. For chronic PJIs where the components are often loose, the standard treatment includes a two-stage revision procedure. However, in a highly selected subset of patients, a single-stage approach has been utilised with high rates of eradicating infections.
Key words: Periprosthetic / Joint / Infection / Hip replacement / Arthroplasty
© The Authors, published by EDP Sciences, 2019
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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