Journal
ORTHOPEDIC CLINICS OF NORTH AMERICA
Volume 47, Issue 1, Pages 11-+Publisher
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.ocl.2015.08.004
Keywords
Prosthetic joint infection (PJI); One-stage septic exchange; Complication of total hip arthroplasty; Cemented revision; Posterior approach
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Prosthetic joint infection (PJI) is a challenging complication following total hip arthroplasty (THA). Two-stage exchange arthroplasty is preferred for treating chronic PJI of THA, although specialized centers have reported comparable outcomes with protocol-based, 1-stage exchange arthroplasty. A main requirement is presurgical determination of the infecting organism's sensitivity. The therapeutic goal is control of the infection and maintenance of joint function. It offers advantages, including a single operative procedure, fewer antibiotics, and reduced hospitalization time and relative overall costs.
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