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One-stage revision hip arthroplasty for infection using primary cementless stems as first-line implants: About 35 cases.
- Source :
-
Orthopaedics & traumatology, surgery & research : OTSR [Orthop Traumatol Surg Res] 2023 Nov; Vol. 109 (7), pp. 103642. Date of Electronic Publication: 2023 Jun 09. - Publication Year :
- 2023
-
Abstract
- Introduction: During infected total hip arthroplasty revisions (THAR), the need for systematic antibiotic cementation remains undefined.<br />Hypothesis: Implantation of a primary cementless stem as first-line implant in 1-stage septic THAR provides results as good as those from a stem cemented with antibiotics in terms of infection resolution.<br />Materials and Methods: We retrospectively examined 35 patients operated on for septic THAR with Avenir® cementless stem placement - between 2008 and 2018 at Besançon University Hospital - with a minimum follow-up of 2 years to define healing in the absence of infectious recurrence. Clinical outcomes were assessed using the Harris, Oxford, and Merle D'Aubigné scores. Osseointegration was analyzed by the Engh radiographic score.<br />Results: The median follow-up was 5±2.6 years (2-11). The infection was cured in 32 of 35 (91.4%) patients. The median scores of the following were: Harris 77/100, Oxford 47.5/60 and Merle d'Aubigné 15/18. Of 32 femoral stems, 31 (96.8%) had radiographically stable osseointegration. Age greater than 80 years was a risk factor for failure to cure the infection during septic THAR.<br />Discussion: A primary cementless stem as first-line implant plays a role in 1-stage septic THAR. It confers good results in terms of infection resolution and stem integration in the setting of loss of femoral bone substances rated Paprosky 1.<br />Level of Evidence: IV; retrospective case series.<br /> (Copyright © 2023 Elsevier Masson SAS. All rights reserved.)
Details
- Language :
- English
- ISSN :
- 1877-0568
- Volume :
- 109
- Issue :
- 7
- Database :
- MEDLINE
- Journal :
- Orthopaedics & traumatology, surgery & research : OTSR
- Publication Type :
- Academic Journal
- Accession number :
- 37302525
- Full Text :
- https://doi.org/10.1016/j.otsr.2023.103642