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J Clin Med. 2021 Nov 05;10(21). doi: 10.3390/jcm10215180.

Analysis of Failed Two-Stage Procedures with Resection Arthroplasty as the First Stage in Periprosthetic Hip Joint Infections.

Journal of clinical medicine

Sebastian Simon, Bernhard J H Frank, Susana Gardete, Alexander Aichmair, Jennyfer Angel Mitterer, Martin Dominkus, Jochen G Hofstaetter

Affiliations

  1. Michael-Ogon Laboratory for Orthopaedic Research, Orthopaedic Hospital Vienna-Speising, 1130 Vienna, Austria.
  2. II. Department of Orthopaedic Surgery, Orthopaedic Hospital Vienna-Speising, 1130 Vienaa, Austria.
  3. School of Medicine, Sigmund Freud University, 1020 Vienna, Austria.

PMID: 34768700 PMCID: PMC8584448 DOI: 10.3390/jcm10215180

Abstract

Resection arthroplasty can be performed as the first stage of a two-stage procedure in some patients with severe periprosthetic hip joint infections with poor bone stock. This retrospective study aimed to evaluate factors associated with the subsequent failure or success of these patients. Between 2011 and 2020; in 61 (26.4%) of 231 patients who underwent a two-stage protocol of periprosthetic hip joint infections; no spacer was used in the first stage. The minimum follow-up period was 12 months. Patient's demographics and various infection risk factors were analyzed. In total, 37/61 (60.7%) patients underwent a successful reimplantation, and four patients died within the follow-up period. Patients within the failure group had a significantly higher Charlson comorbidity index (

Keywords: PJI; resection arthroplasty; risk-factors; two-stage procedure

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