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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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In total hip arthroplasty, infection remains one of the most devastating postoperative complications. It can be difficult to treat and eradicate. Currently there are several validated methods of combating infection but complications both during and after the process can derail the patient's recovery. We seek to determine complications that occur during the infection eradication process and the stage they occur in to bring awareness to possible reasons for failure of the revision.
JBJI | Articles | Volume 6, issue 7
J. Bone Joint Infect., 6, 295–303, 2021
https://doi.org/10.5194/jbji-6-295-2021
J. Bone Joint Infect., 6, 295–303, 2021
https://doi.org/10.5194/jbji-6-295-2021

Original full-length article 29 Jul 2021

Original full-length article | 29 Jul 2021

Complications in the treatment of periprosthetic joint infection of the hip: when do they occur?

Katherine Li et al.

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Ahmed Siddiqi, Zuhdi E. Abdo, Bryan D. Springer, and Antonia F. Chen
J. Bone Joint Infect., 6, 189–198, https://doi.org/10.5194/jbji-6-189-2021,https://doi.org/10.5194/jbji-6-189-2021, 2021
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Cited articles

Barton, C. B., Wang, D. L., An, Q., Brown, T. S., Callaghan, J. J., and Otero, J. E.: Two-Stage Exchange Arthroplasty for Periprosthetic Joint Infection Following Total Hip or Knee Arthroplasty Is Associated with High Attrition Rate and Mortality, J. Arthroplasty, 35, 1384–1389, https://doi.org/10.1016/j.arth.2019.12.005, 2020. 
Berend, K. R., Lombardi, A. V. J., Morris, M. J., Bergeson, A. G., Adams, J. B., and Sneller, M. A.: Two-stage treatment of hip periprosthetic joint infection is associated with a high rate of infection control but high mortality, Clin. Orthop. Relat. Res., 471, 510–518, https://doi.org/10.1007/s11999-012-2595-x, 2013. 
Brown, T. S., Fehring, K. A., Ollivier, M., Mabry, T. M., Hanssen, A. D., and Abdel, M. P.: Repeat two-stage exchange arthroplasty for prosthetic hip re-infection, Bone Joint J., 100-B, 1157–1161, https://doi.org/10.1302/0301-620X.100B9.BJJ-2018-0470.R1, 2018. 
Cancienne, J. M., Werner, B. C., Bolarinwa, S. A., and Browne, J. A.: Removal of an Infected Total Hip Arthroplasty: Risk Factors for Repeat Debridement, Long-term Spacer Retention, and Mortality, J. Arthroplasty, 32, 2519–2522, https://doi.org/10.1016/j.arth.2017.03.018, 2017. 
DeFrancesco, C. J., Fu, M. C., Kahlenberg, C. A., Miller, A. O., and Bostrom, M. P.: Extended Antibiotic Prophylaxis May Be Linked to Lower Peri-prosthetic Joint Infection Rates in High-Risk Patients: An Evidence-Based Review, HSS J., 15, 297–301, https://doi.org/10.1007/s11420-019-09698-8, 2019. 
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Short summary
In total hip arthroplasty, infection remains one of the most devastating postoperative complications. It can be difficult to treat and eradicate. Currently there are several validated methods of combating infection but complications both during and after the process can derail the patient's recovery. We seek to determine complications that occur during the infection eradication process and the stage they occur in to bring awareness to possible reasons for failure of the revision.
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