Articles | Volume 7, issue 1
https://doi.org/10.5194/jbji-7-43-2022
https://doi.org/10.5194/jbji-7-43-2022
Original full-length article
 | 
25 Feb 2022
Original full-length article |  | 25 Feb 2022

Early periprosthetic hip joint infection managed by cementless one-stage revision – a case series

Kristoffer Riemer and Jeppe Lange

Related subject area

Subject: Arthroplasty | Topic: Infectious
Effectiveness of two-stage revision with commercial polymethylmethacrylate articulated hip spacer: similar outcomes against monomicrobial and polymicrobial hip periprosthetic joint infections
Leonel Perez Alamino, German Garabano, Joaquín Anibal Rodriguez, Matías Cullari, Hernán Del Sel, and Cesar Angel Pesciallo
J. Bone Joint Infect., 8, 51–57, https://doi.org/10.5194/jbji-8-51-2023,https://doi.org/10.5194/jbji-8-51-2023, 2023
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Assessment of risk factors for early-onset deep surgical site infection following primary total hip arthroplasty for osteoarthritis
Jonathan Bourget-Murray, Rohit Bansal, Alexandra Soroceanu, Sophie Piroozfar, Pam Railton, Kelly Johnston, Andrew Johnson, and James Powell
J. Bone Joint Infect., 6, 443–450, https://doi.org/10.5194/jbji-6-443-2021,https://doi.org/10.5194/jbji-6-443-2021, 2021
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Acute or chronic periprosthetic joint infection? Using the ESR ∕ CRP ratio to aid in determining the acuity of periprosthetic joint infections
Zachary K. Christopher, Kade S. McQuivey, David G. Deckey, Jack Haglin, Mark J. Spangehl, and Joshua S. Bingham
J. Bone Joint Infect., 6, 229–234, https://doi.org/10.5194/jbji-6-229-2021,https://doi.org/10.5194/jbji-6-229-2021, 2021
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Cited articles

Chung, A. S., Niesen, M. C., Graber, T. J., Schwartz, A. J., Beauchamp, C. P., Clarke, H. D., and Spangehl, M. J.: Two-Stage Debridement With Prosthesis Retention for Acute Periprosthetic Joint Infections, J. Arthroplast., 34, 1207–1213, https://doi.org/10.1016/j.arth.2019.02.013, 2019. 
Galea, V. P., Ingelsrud, L. H., Florissi, I., Shin, D., Bragdon, C. R., Malchau, H., Gromov, K., and Troelsen, A.: Patient-acceptable symptom state for the Oxford Hip Score and Forgotten Joint Score at 3 months, 1 year, and 2 years following total hip arthroplasty: a registry-based study of 597 cases, Acta Orthop., 91, 372–377​​​​​​​, https://doi.org/10.1080/17453674.2020.1750877, 2020. 
Gundtoft, P. H., Varnum, C., Pedersen, A. B., and Overgaard, S.: The Danish Hip Arthroplasty Register, Clin. Epidemiology, 8, 509–514, https://doi.org/10.2147/clep.s99498, 2016. 
Hansen, E., Tetreault, M., Zmistowski, B., Valle, C. J. D., Parvizi, J., Haddad, F. S., and Hozack, W. J.: Outcome of Onestage Cementless Exchange for Acute Postoperative Periprosthetic Hip Infection, Clin. Orthop. Relat. R., 471, 3214–3222, https://doi.org/10.1007/s11999-013-3079-3, 2013. 
Jenny, J.-Y., Lengert, R., Diesinger, Y., Gaudias, J., Boeri, C., and Kempf, J.-F.: Routine one-stage exchange for chronic infection after total hip replacement, Int. Orthop., 38, 2477–2481, https://doi.org/10.1007/s00264-014-2466-z, 2014. 
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Short summary
Early infection after primary total hip arthroplasty can be effectively treated with one-stage cementless exchange revision. In our retrospective case series we have 100% infection control. If other similar orthopedic centers are able to reproduce our results, the potential benefit for the patients and treating institutions is of considerable importance worldwide. We did this research to document our results and make the protocol available for the orthopedic infection surgery community.