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Journal of Bone and Joint Infection An open-access journal of the European Bone and Joint Infection Society and the MusculoSkeletal Infection Society
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Cutibacterium acnes infections in hip arthroplasty may be underdiagnosed. Cemented components in THA seem to protect from colonization of Cutibacterium acnes. Post-operative infections are preferably surgically treated with DAIR within a month after hip replacement but infection eradication may still not be excluded at an extended time in some cases. Further large-scale studies are needed to confirm our results.
JBJI | Articles | Volume 6, issue 6
J. Bone Joint Infect., 6, 219–228, 2021
https://doi.org/10.5194/jbji-6-219-2021
J. Bone Joint Infect., 6, 219–228, 2021
https://doi.org/10.5194/jbji-6-219-2021

Original full-length article 04 Jun 2021

Original full-length article | 04 Jun 2021

Periprosthetic hip infections in a Swedish regional hospital between 2012 and 2018: is there a relationship between Cutibacterium acnes infections and uncemented prostheses?

Urban Hedlundh et al.

Cited articles

Boisrenoult, P.: Cutibacterium acnes prosthetic joint infection: Diagnosis and treatment, Orthop. Traumatol. Surg. Res., 104, S19–S24, https://doi.org/10.1016/j.otsr.2017.05.030, 2018. 
Born, P., Ilchmann, T., Zimmerli, W., Zwicky, L., Graber, P., Ochsner, P. E., and Clauss, M.: Eradication of infection, survival, and radiological results of uncemented revision stems in infected total hip arthroplasties, Acta Orthop., 87, 637–643, https://doi.org/10.1080/17453674.2016.1237423, 2016. 
Braem, A., Van Mellaert, L., Mattheys, T., Hofmans, D., De Waelheyns, E., Geris, L., Anne, J., Schrooten, J., and Vleugels, J.: Staphylococcal biofilm growth on smooth and porous titanium coatings for biomedical applications, J. Biomed. Mater. Res. A, 102, 215–224, https://doi.org/10.1002/jbm.a.34688, 2014. 
Dale, H., Fenstad, A. M., Hallan, G., Havelin, L. I., Furnes, O., Overgaard, S., Pedersen, A. B., Karrholm, J., Garellick, G., Pulkkinen, P., Eskelinen, A., Makela, K., and Engesaeter, L. B.: Increasing risk of prosthetic joint infection after total hip arthroplasty, Acta Orthop., 83, 449–458, https://doi.org/10.3109/17453674.2012.733918, 2012. 
Elkins, J. M., Kates, S., Lange, J., Lange, J., Lichstein, P., Otero, J., Soriano, A., Wagner, C., and Wouthuyzen-Bakker, M.: General Assembly, Diagnosis, Definitions: Proceedings of International Consensus on Orthopedic Infections, J. Arthroplasty, 34, S181–S185, https://doi.org/10.1016/j.arth.2018.09.069, 2019. 
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Short summary
Cutibacterium acnes infections in hip arthroplasty may be underdiagnosed. Cemented components in THA seem to protect from colonization of Cutibacterium acnes. Post-operative infections are preferably surgically treated with DAIR within a month after hip replacement but infection eradication may still not be excluded at an extended time in some cases. Further large-scale studies are needed to confirm our results.
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