Treatment of Infected Total Hip Arthroplasty

Han-Seok Ko; Woo-Han Bae

doi:10.5371/jkhs.2010.22.2.104

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Ko and Bae: Treatment of Infected Total Hip Arthroplasty

Review Article

The Journal of the Korean Hip Society

The Journal of the Korean Hip Society 2010; 22(2): 104-110.

Published online: 30 June 2010

DOI: https://doi.org/10.5371/jkhs.2010.22.2.104

Treatment of Infected Total Hip Arthroplasty

Han-Seok Ko, MD, Woo-Han Bae, MD

Department of Orthopaedic Surgery, Seoul Paik Hospital, College of Medicine, Inje University, Seoul, Korea.

Address reprint request to Han-Seok Ko, MD. Department of Orthopedic Surgery, Seoul Paik Hospital, 82 Jeo-dong 2-ga, Jung-gu, Seoul 135-710, Korea. TEL: +82-2-2270-0556, FAX: +82-2-2270-0023, kohans@hanafos.com

Received 3 March 2010 Revised 18 June 2010 Accepted 18 June 2010

Abstract

Deep infection after total hip arthroplasty is one of the most serious post operative complications. Treatment of infection of the hip joint can be made very difficult by poor response to antibiotic therapy. Infection rates of total hip arthroplasty have decreased due to prophylactic antibiotics, sterilization of surgical instruments, cleaner operation environments, Improvement of surgical methods and proper patient selection. Recently, post operative infection rates of primary or revision arthroplasties were reported to still be as high as 1% to 2%. Therefore, the aim of this article is to review the recent literature and to evaluate the cause, environment diagnosis and treatment of infection after total hip arthroplasty.

Keywords: Infection, Total hip arthroplasty, 2nd stage arthroplasty, Complication, Treatment

Figures and Tables

Fig. 1

Postoperative A-P radiograph of the left hip of a 63-years old man with PROSTLAC due to infected total hip arthroplasty

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