Articles | Volume 7, issue 2
https://doi.org/10.5194/jbji-7-81-2022
https://doi.org/10.5194/jbji-7-81-2022
Original full-length article
 | 
14 Apr 2022
Original full-length article |  | 14 Apr 2022

Arthroplasty after septic arthritis of the native hip and knee: retrospective analysis of 49 joints

Elodie Portier, Valérie Zeller, Younes Kerroumi, Beate Heym, Simon Marmor, and Pascal Chazerain

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Cited articles

Aalirezaie, A., Arumugam, S. S., Austin, M., Bozinovski, Z., Cichos, K. H., Fillingham, Y., Ghanem, E., Greenky, M., Huang, W., Jenny, J.-Y., Lazarovski, P., Lee, G.-C., Manrique, J., Manzary, M., Oshkukov, S., Patel, N. K., Reyes, F., Spangehl, M., Vahedi, H., and Voloshin, V.: Hip and Knee Section, Prevention, Risk Mitigation: Proceedings of International Consensus on Orthopedic Infections, J. Arthroplasty, 34, S271–S278, https://doi.org/10.1016/j.arth.2018.09.011, 2019. 
Agence Nationale de Sécurité du Médicament et des Produits de Santé (ANSM): Surveillance des dispositifs médicaux à risque: Prothèses totales de genou (PTG), https://archiveansm.integra.fr/var/ansm_site/storage/original/application/3798f4f2a1e239b28ddf80c8b675ee86.pdf (last access: 1 February 2022​​​​​​​), 2015. 
Bauer, T., Lacoste, S., Lhotellier, L., Mamoudy, P., Lortat-Jacob, A., and Hardy, P.: Arthroplasty following a septic arthritis history: a 53 cases series, Orthop. Traumatol. Surg. Res., 96, 840–843, https://doi.org/10.1016/j.otsr.2010.06.009, 2010. 
Bettencourt, J. W., Wyles, C. C., Fruth, K. M., Osmon, D. R., Hanssen, A. D., Berry, D. J., and Abdel, M. P.: Outcomes of Primary Total Knee Arthroplasty Following Septic Arthritis of the Native Knee: A Case-Control Study, J. Bone Joint Surg. Am., 103, 1685–1693, https://doi.org/10.2106/JBJS.20.01678, 2021. 
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Short summary
Arthroplasty after septic arthritis (SA) raises diagnostic and therapeutic questions. We report on 49 knee and hip arthroplasties following SA. Median SA-to-arthroplasty interval was 32 weeks, and one-stage arthroplasty was performed in 43 episodes. No SA relapse but 5 new prosthetic joint infections occurred with an infection-free survival rate of 96 % at 2 years. Arthroplasty may be a post-SA option, even within a short period of time but requires specific management and prolonged monitoring.