Reinfection and complication rates in two-stage revision for chronic hip periprosthetic joint infections using the direct anterior approach

Simon, Sebastian; Mitterer, Jennyfer A.; Frank, Bernhard J. H.; Huber, Stephanie; Sebastian, Sujeesh; Gardete-Hartmann, Susana; Hofstaetter, Jochen G.

doi:10.5194/jbji-11-513-2026

Articles | Volume 11, issue 4

https://doi.org/10.5194/jbji-11-513-2026

© Author(s) 2026. This work is distributed under
the Creative Commons Attribution 4.0 License.

https://doi.org/10.5194/jbji-11-513-2026

© Author(s) 2026. This work is distributed under
the Creative Commons Attribution 4.0 License.

Articles | Volume 11, issue 4

Original full-length article

|

19 Aug 2026

Original full-length article |

| 19 Aug 2026

Reinfection and complication rates in two-stage revision for chronic hip periprosthetic joint infections using the direct anterior approach

Sebastian Simon, Jennyfer A. Mitterer, Bernhard J. H. Frank, Stephanie Huber, Sujeesh Sebastian, Susana Gardete-Hartmann, and Jochen G. Hofstaetter

Metrics will be available soon.

Latest update: 19 Aug 2026

Short summary

Two-stage septic revision was evaluated in 36 / 8476 (0.4 %) patients after primary total hip arthroplasty (THA) using the direct anterior approach (DAA). Infection-free survival was 77.8 % after a median follow-up of 6 years. Spacer-related complications occurred in 5.6 %. Revision for dislocation after reimplantation occurred in 8.3 %. Two-stage septic revision using the DAA shows reinfection rates comparable to other approaches, with low rates of spacer dislocation and postoperative dislocation after reimplantation.