Original full-length article
06 Jul 2018
Original full-length article | 06 Jul 2018
Results and Patient Reported Outcome Measures (PROMs) after One-Stage Revision for Periprosthetic Joint Infection of the Hip: A Single-centre Retrospective Study
Jesse W.P. Kuiper1,2, Christine M.E. Rustenburg1, Jore H. Willems2,3, Steven J. Verberne2, Edgar J.G. Peters4,5, and Rachid Saouti1
Jesse W.P. Kuiper et al.
Jesse W.P. Kuiper1,2, Christine M.E. Rustenburg1, Jore H. Willems2,3, Steven J. Verberne2, Edgar J.G. Peters4,5, and Rachid Saouti1
- 1Department of Orthopaedic Surgery, VU University Medical Centre, Amsterdam, the Netherlands
- 2Department of Orthopaedic Surgery, Noord-West Ziekenhuisgroep, Alkmaar, the Netherlands
- 3Department of Orthopaedic Surgery, Spaarne Gasthuis, Hoofddorp, the Netherlands
- 4Department of Internal Medicine, VU University Medical Centre, Amsterdam, the Netherlands
- 5Amsterdam Infection and Immunity Institute, Amsterdam, the Netherlands
- 1Department of Orthopaedic Surgery, VU University Medical Centre, Amsterdam, the Netherlands
- 2Department of Orthopaedic Surgery, Noord-West Ziekenhuisgroep, Alkmaar, the Netherlands
- 3Department of Orthopaedic Surgery, Spaarne Gasthuis, Hoofddorp, the Netherlands
- 4Department of Internal Medicine, VU University Medical Centre, Amsterdam, the Netherlands
- 5Amsterdam Infection and Immunity Institute, Amsterdam, the Netherlands
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Received: 14 Dec 2017 – Accepted: 13 Jun 2018 – Published: 06 Jul 2018
Keywords: one-stage revision, periprosthetic joint infection, hip, outcome, functional outcome, quality of life
Background: Little is known about functional outcome and quality of life (QoL) after one-stage revision for periprosthetic joint infection (PJI) of the hip.
Methods: a cohort of 30 subjects treated with one-stage revision between 2011 and 2015 was identified, and questionnaires on functional outcome and QoL were distributed.
Results: 28 subjects were successfully treated (93%). Most subjects were referred from other hospitals. Coagulase-negative Staphylococcus was found in 50% of the cases, and 40% of all cultured bacteria were multidrug-resistant. 25% had subsequent revision surgery, unrelated to PJI. Functional outcome was good and QoL scores were high, comparable to prosthetic joint revision surgery in general.
Conclusion: Although the cohort was small and statistical analysis was not performed, this study showed that excellent results can be obtained with one-stage revision for hip PJI. Functional outcome and QoL was comparable to prosthetic joint revision surgery in general.
