Journal
INTERNATIONAL ORTHOPAEDICS
Volume 33, Issue 5, Pages 1195-1201Publisher
SPRINGER
DOI: 10.1007/s00264-008-0640-x
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Funding
- Korean Human Technology Research Foundation [KOHTERF-2008-01]
- Seoul National University Hospital Research Fund [06-03-063]
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We hypothesised that one-stage cementless revision hip arthroplasty may have advantages and a role in the treatment of selected patients with an infected hip replacement. We retrospectively reviewed all patients with an infected hip replacement treated with one-stage revision using cementless implants. Twelve patients were reviewed and followed up for at least three years (average: 7.2 years, range: 3.3-11.3 years) postoperatively. One recurrence of infection and one aseptic stem loosening were detected during follow-up. Grafted bone, which was used in eight patients, appeared to have united to host bone in all patients. The success rate of treatment was 83.3% when infection recurrence or component loosening were regarded as failure. One- stage revision hip arthroplasty using cementless implants appears to have a role in the treatment of carefully selected patients with an infected hip replacement if meticulous debridement is performed and appropriate antibiotics are properly used.
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