Articles | Volume 10, issue 1
https://doi.org/10.5194/jbji-10-15-2025
https://doi.org/10.5194/jbji-10-15-2025
Original full-length article
 | 
11 Feb 2025
Original full-length article |  | 11 Feb 2025

Mid-term to long-term outcome and risk factors for failure of 158 hips with two-stage revision for periprosthetic hip joint infection

Moatasem Abuelnour, Conor McNamee, Abdul Basit Rafi, Wolf Hohlbein, Peter Keogh, and James Cashman

Related subject area

Subject: Prosthesis-related infections | Topic: Surgery
Do one-stage indications predict success following two-stage arthroplasty for chronic periprosthetic joint infection?
Michael M. Kheir, Christopher G. Anderson, Yu-Fen Chiu, and Alberto V. Carli
J. Bone Joint Infect., 9, 75–85, https://doi.org/10.5194/jbji-9-75-2024,https://doi.org/10.5194/jbji-9-75-2024, 2024
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Outcomes of the gastrocnemius flap performed by orthopaedic surgeons in salvage revision knee arthroplasty
Robert Allan McCulloch, Amirul Adlan, Scott Evans, Michael Parry, Jonathan Stevenson, and Lee Jeys
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Long-term outcome of two-stage revision surgery after hip and knee prosthetic joint infections: an observational study
Yorrick P. Bourgonjen, J. Fred F. Hooning van Duyvenbode, Bruce van Dijk, F. Ruben H. A. Nurmohamed, Ewout S. Veltman, H. Charles Vogely, and Bart C. H. van der Wal
J. Bone Joint Infect., 6, 379–387, https://doi.org/10.5194/jbji-6-379-2021,https://doi.org/10.5194/jbji-6-379-2021, 2021
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Timing of debridement, antibiotics, and implant retention (DAIR) for early post-surgical hip and knee prosthetic joint infection (PJI) does not affect 1-year re-revision rates: data from the Dutch Arthroplasty Register
Barry van der Ende, Jakob van Oldenrijk, Max Reijman, Peter D. Croughs, Liza N. van Steenbergen, Jan A. N. Verhaar, and P. Koen Bos
J. Bone Joint Infect., 6, 329–336, https://doi.org/10.5194/jbji-6-329-2021,https://doi.org/10.5194/jbji-6-329-2021, 2021
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Cited articles

Barker, C. J., Marriot, A., Khan, M., Oswald, T., Tingle, S. J., Partington, P. F., Carluke, I., and Reed, M. R.: Hip aspiration culture: analysing data from a single operator series investigating periprosthetic joint infection, J. Bone Joint Infect., 6, 165–170, https://doi.org/10.5194/jbji-6-165-2021, 2021. 
Bellamy, N., Buchanan, W. W., Goldsmith, C. H., Campbell, J., and Stitt, L. W.: Validation study of WOMAC: a health status instrument for measuring clinically important patient relevant outcomes to antirheumatic drug therapy in patients with osteoarthritis of the hip or knee, J. Rheumatol., 15, 1833–1840, 1988. 
Bejon, P., Berendt, A., Atkins, B. L., Green, N., Parry, H., Masters, S., McLardy-Smith, P., Gundle, R., and Byren, I.: Two-stage revision for prosthetic joint infection: predictors of outcome and the role of reimplantation microbiology, J. Antimicrob. Chemother., 65, 569–575, https://doi.org/10.1093/jac/dkp469, 2010. 
Biring, G. S., Kostamo, T., Garbuz, D. S., Masri, B. A., and Duncan, C. P.: Two-stage revision arthroplasty of the hip for infection using an interim articulated Prostalac hip spacer: a 10- to 15-year follow-up study, J. Bone Joint Surgery, 91, 1431–1437, https://doi.org/10.1302/0301-620X.91B11.22026, 2009. 
Bourgonjen, Y. P., Hooning van Duyvenbode, J. F. F., van Dijk, B., Nurmohamed, F. R. H. A., Veltman, E. S., Vogely, H. C., and van der Wal, B. C. H.: Long-term outcome of two-stage revision surgery after hip and knee prosthetic joint infections: an observational study, J. Bone Joint Infect., 6, 379–387, https://doi.org/10.5194/jbji-6-379-2021, 2021. 
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Short summary
Our goal was to evaluate the results of two-stage revision of hip periprosthetic joint infection (PJI) over a 20-year period. Our arthroplasty unit is the largest in Ireland. We obtained data for a large number of cases (158 hips) with mid-term to long-term follow-up. Our analysis has found an infection-free survival rate of 84.2 % at 10 years, which was comparable with the best available outcomes. Most of the previously published risk factors were not predictive of failure in our study.
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