J Korean Orthop Assoc.  2000 Jun;35(3):467-472.

Treatment of Infected uncemented Total Hip Arthroplasty: Two-stage revision procedure by preserving well-fixed femoral components in four cases

• Yoon TR
• Rowe SM
• Park CH
• Jung SN

Abstract

In infected uncemented hip arthroplasty, 4 cases which showed well-fixed femoral stem were managed by staged procedure. Thorough debridement, removal of acetabular socket and insertion of antibiotics impregnated cement spacer was done without removal of femoral stem. No recurrence of infection or loosening was developed after staged procedure and revisoin was performed after infection evidence disappeared. The interval between the two procedures was 4 months (3-6) on average. In Weber's criteria, all 4 cases were graded as having definitive cure of infection on both clinical and radiological criteria (Grade I) .

Keyword

Hip arthroplasty; Infection; Cement spacer; Revision; Retained femoral component

MeSH Terms

Acetabulum
Anti-Bacterial Agents
Arthroplasty
Arthroplasty, Replacement, Hip*
Debridement
Hip
Recurrence
Anti-Bacterial Agents