Treatment of the septic hip with total hip arthroplasty
Forty-three patients, 23 with definite infection and 20 with probable infections before total hip arthroplasty (THA), were compared to 41 matched uninfected patients. The 43 infected patients were treated by 45 operative procedures: eight Girdlestone resections, 12 revisions of total hips, and 25 co...
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| Veröffentlicht in: | Clinical orthopaedics and related research 1987-08, Vol.221 (221), p.231-237 |
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| container_title | Clinical orthopaedics and related research |
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| creator | BALDERSTON, R. A HILLER, W. D. B IANNOTTI, J. P PICKENS, G. T BOOTH, R. E. JR GLUCKMAN, S. J BUCKLAY, R. M ROTHMAN, R. H |
| description | Forty-three patients, 23 with definite infection and 20 with probable infections before total hip arthroplasty (THA), were compared to 41 matched uninfected patients. The 43 infected patients were treated by 45 operative procedures: eight Girdlestone resections, 12 revisions of total hips, and 25 conversions from infected nontotal hip surgery to total hip arthroplasties. (Two revision THAs were converted to Girdlestones). The average follow-up period was 38.8 months, with a range of six-118 months. The statistically significant negative prognosticators were gross sepsis at surgery, number of previous operations, and elevated erythrocyte sedimentation rate (ESR). The type of infecting organism did not affect the outcome. The prosthesis survival rate for total hip arthroplasties revised for sepsis was 83%. The prosthesis survival rate for other infected hips treated by total hip arthroplasty was 100%. All groups except Girdlestone resections improved postoperatively. While Girdlestone resection offered acceptable pain relief, total hip arthroplasty provided unequivocally superior function (p = 0.0001). |
| doi_str_mv | 10.1097/00003086-198708000-00029 |
| format | Article |
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A ; HILLER, W. D. B ; IANNOTTI, J. P ; PICKENS, G. T ; BOOTH, R. E. JR ; GLUCKMAN, S. J ; BUCKLAY, R. M ; ROTHMAN, R. H</creator><creatorcontrib>BALDERSTON, R. A ; HILLER, W. D. B ; IANNOTTI, J. P ; PICKENS, G. T ; BOOTH, R. E. JR ; GLUCKMAN, S. J ; BUCKLAY, R. M ; ROTHMAN, R. H</creatorcontrib><description>Forty-three patients, 23 with definite infection and 20 with probable infections before total hip arthroplasty (THA), were compared to 41 matched uninfected patients. The 43 infected patients were treated by 45 operative procedures: eight Girdlestone resections, 12 revisions of total hips, and 25 conversions from infected nontotal hip surgery to total hip arthroplasties. (Two revision THAs were converted to Girdlestones). The average follow-up period was 38.8 months, with a range of six-118 months. The statistically significant negative prognosticators were gross sepsis at surgery, number of previous operations, and elevated erythrocyte sedimentation rate (ESR). The type of infecting organism did not affect the outcome. The prosthesis survival rate for total hip arthroplasties revised for sepsis was 83%. The prosthesis survival rate for other infected hips treated by total hip arthroplasty was 100%. All groups except Girdlestone resections improved postoperatively. While Girdlestone resection offered acceptable pain relief, total hip arthroplasty provided unequivocally superior function (p = 0.0001).</description><identifier>ISSN: 0009-921X</identifier><identifier>EISSN: 1528-1132</identifier><identifier>DOI: 10.1097/00003086-198708000-00029</identifier><identifier>PMID: 3608303</identifier><identifier>CODEN: CORTBR</identifier><language>eng</language><publisher>Heidelberg: Springer</publisher><subject>Adult ; Aged ; Bacterial arthritis and osteitis ; Bacterial diseases ; Biological and medical sciences ; Female ; Follow-Up Studies ; Hip Joint - physiology ; Hip Prosthesis ; Human bacterial diseases ; Humans ; Infection - surgery ; Infectious diseases ; Male ; Medical sciences ; Methods ; Middle Aged ; Movement ; Postoperative Complications - surgery ; Reoperation</subject><ispartof>Clinical orthopaedics and related research, 1987-08, Vol.221 (221), p.231-237</ispartof><rights>1988 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c368t-861250db03583a2e9570f468d221d16db4fd1b734e20a43d498fd347f5ec39c63</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,27928,27929</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=7393165$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/3608303$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>BALDERSTON, R. 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While Girdlestone resection offered acceptable pain relief, total hip arthroplasty provided unequivocally superior function (p = 0.0001).</description><subject>Adult</subject><subject>Aged</subject><subject>Bacterial arthritis and osteitis</subject><subject>Bacterial diseases</subject><subject>Biological and medical sciences</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Hip Joint - physiology</subject><subject>Hip Prosthesis</subject><subject>Human bacterial diseases</subject><subject>Humans</subject><subject>Infection - surgery</subject><subject>Infectious diseases</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Methods</subject><subject>Middle Aged</subject><subject>Movement</subject><subject>Postoperative Complications - surgery</subject><subject>Reoperation</subject><issn>0009-921X</issn><issn>1528-1132</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1987</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kNtKw0AQhhdRaq0-gpAL8S66u5Ps4VKKJyh4U8G7ZbMHEkmauLtF-vambezAMMzM_8_Ah1BG8APBkj_iMQALlhMpOBZjl49J5Rmak5KKnBCg52g-zmQuKfm6RFcxfu9NRUlnaAYMC8AwR3wdnE6d26Ss91mqXRbdkBqT1c2Q_TapzlKfdHtodUh16IdWx7S7Rhdet9HdTHWBPl-e18u3fPXx-r58WuUGmEi5YISW2FYYSgGaOlly7AsmLKXEEmarwltScSgcxboAW0jhLRTcl86ANAwW6P54dwj9z9bFpLomGte2euP6bVScM8IExaNQHIUm9DEG59UQmk6HnSJY7Zmpf2bqxEwdmI3W2-nHtuqcPRknSOP-btrraHTrg96YJp5kHCQQVsIfBrZyXQ</recordid><startdate>19870801</startdate><enddate>19870801</enddate><creator>BALDERSTON, R. 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A</creatorcontrib><creatorcontrib>HILLER, W. D. B</creatorcontrib><creatorcontrib>IANNOTTI, J. P</creatorcontrib><creatorcontrib>PICKENS, G. T</creatorcontrib><creatorcontrib>BOOTH, R. E. JR</creatorcontrib><creatorcontrib>GLUCKMAN, S. J</creatorcontrib><creatorcontrib>BUCKLAY, R. M</creatorcontrib><creatorcontrib>ROTHMAN, R. H</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical orthopaedics and related research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>BALDERSTON, R. A</au><au>HILLER, W. D. B</au><au>IANNOTTI, J. P</au><au>PICKENS, G. T</au><au>BOOTH, R. E. JR</au><au>GLUCKMAN, S. J</au><au>BUCKLAY, R. M</au><au>ROTHMAN, R. H</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Treatment of the septic hip with total hip arthroplasty</atitle><jtitle>Clinical orthopaedics and related research</jtitle><addtitle>Clin Orthop Relat Res</addtitle><date>1987-08-01</date><risdate>1987</risdate><volume>221</volume><issue>221</issue><spage>231</spage><epage>237</epage><pages>231-237</pages><issn>0009-921X</issn><eissn>1528-1132</eissn><coden>CORTBR</coden><abstract>Forty-three patients, 23 with definite infection and 20 with probable infections before total hip arthroplasty (THA), were compared to 41 matched uninfected patients. The 43 infected patients were treated by 45 operative procedures: eight Girdlestone resections, 12 revisions of total hips, and 25 conversions from infected nontotal hip surgery to total hip arthroplasties. (Two revision THAs were converted to Girdlestones). The average follow-up period was 38.8 months, with a range of six-118 months. The statistically significant negative prognosticators were gross sepsis at surgery, number of previous operations, and elevated erythrocyte sedimentation rate (ESR). The type of infecting organism did not affect the outcome. The prosthesis survival rate for total hip arthroplasties revised for sepsis was 83%. The prosthesis survival rate for other infected hips treated by total hip arthroplasty was 100%. All groups except Girdlestone resections improved postoperatively. While Girdlestone resection offered acceptable pain relief, total hip arthroplasty provided unequivocally superior function (p = 0.0001).</abstract><cop>Heidelberg</cop><pub>Springer</pub><pmid>3608303</pmid><doi>10.1097/00003086-198708000-00029</doi><tpages>7</tpages></addata></record> |
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| ispartof | Clinical orthopaedics and related research, 1987-08, Vol.221 (221), p.231-237 |
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| subjects | Adult Aged Bacterial arthritis and osteitis Bacterial diseases Biological and medical sciences Female Follow-Up Studies Hip Joint - physiology Hip Prosthesis Human bacterial diseases Humans Infection - surgery Infectious diseases Male Medical sciences Methods Middle Aged Movement Postoperative Complications - surgery Reoperation |
| title | Treatment of the septic hip with total hip arthroplasty |
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