The Journal of Arthroplasty
Volume 25, Issue 6 , Pages 880-884, September 2010

Repeat 2-Stage Revision for Recurrent Infection of Total Hip Arthroplasty

University of California, San Francisco, San Francisco, California

Received 14 May 2007; accepted 8 December 2009. published online 08 March 2010.

Abstract 

Eleven patients who developed reinfection after 2-stage revision for infected total hip arthroplasty (THA) were treated with a repeat 2-stage rerevision. Of the 11 rerevisions, 4 were successful, with no recurrent infection at mean follow-up of 44 months. Reinfection occurred in 7 patients of whom 6 involved either a significantly compromised host or poor local wound status. Clinical symptoms of infection were controlled in 4 of the 7 reinfected cases with antibiotic therapy in 2, irrigation and debridement in 1, and a third 2-stage revision THA in 1. Repeat 2-stage treatment of infected THA is associated with a high failure rate. However, successful results can be achieved particularly if the host is not immunocompromised and healthy soft tissue coverage is present.

Keywords: total hip arthroplasty, infection, revision, cement, spacer

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 No benefits or funds were received in support of the study.

PII: S0883-5403(09)00579-8

doi:10.1016/j.arth.2009.12.010

The Journal of Arthroplasty
Volume 25, Issue 6 , Pages 880-884, September 2010

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