Treatment of infection at the site of total hip replacement

The modern era of total hip arthroplasty is little more than thirty years old, and during that time the procedure has proved to be highly effective in improving the physical function, social interaction, and over-all health of millions of patients. Initially, the procedure was associated with notabl...

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Published inJournal of bone and joint surgery. American volume Vol. 79; no. 11; pp. 1740 - 1749
Main Authors MASTERSON, E. L, MASRI, B. A, DUNCAN, C. P
Format Journal Article
LanguageEnglish
Published Boston, MA Journal of Bone and Joint Surgery Incorporated 01.11.1997
Journal of Bone and Joint Surgery AMERICAN VOLUME
EditionAmerican volume
Subjects
Bacterial arthritis and osteitis
Bacterial diseases
Biological and medical sciences
Human bacterial diseases
Infectious diseases
Medical sciences
Human
Prosthesis
Diseases of the osteoarticular system
Bone disease
Review
Hip
Infection
Treatment
Revision
Surgery
Classification
Total
Bacteriosis
Complication
Therapeutic protocol
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Summary:The modern era of total hip arthroplasty is little more than thirty years old, and during that time the procedure has proved to be highly effective in improving the physical function, social interaction, and over-all health of millions of patients. Initially, the procedure was associated with notable rates of infection but these have since been reduced considerably with measures such as prophylactic antibiotics, ultraclean-air operating rooms, and careful selection of patients. However, this reduction in the prevalence of postoperative deep infection has been accompanied by a steady increase in the frequency with which the operation is performed. Progress in the development of the optimum treatment of infection at the site of a total hip replacement has been slow. Such infections are sufficiently uncommon that only large tertiary referral centers can accumulate sufficient numbers of patients for study. In addition, the large number of variables in these complex cases makes it difficult to plan well controlled prospective trials of different treatment modalities.
Bibliography:ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-1
content type line 23
ISSN:0021-9355
1535-1386
DOI:10.2106/00004623-199711000-00017