Prosthesis retention after an infected hip prosthesis: hip fractures versus primary total hip prosthesis, data from 1998 - 2015
| Autor: | Jeroen Steens, Lieke M.A. de, William C. Neve |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Prosthesis Retention medicine.medical_treatment Total hip replacement hip fracture surgery Prosthesis 03 medical and health sciences 0302 clinical medicine lcsh:Orthopedic surgery medicine Orthopedics and Sports Medicine Frail elderly 030212 general & internal medicine prosthetic joint infection primary hip prosthesis Survival rate 030222 orthopedics Hip fracture business.industry Prosthetic joint infection medicine.disease frail elderly Surgery lcsh:RD701-811 Infectious Diseases business Complication survival rate Research Paper |
| Zdroj: | Journal of Bone and Joint Infection, Vol 3, Pp 118-122 (2018) Journal of Bone and Joint Infection |
| ISSN: | 2206-3552 |
| DOI: | 10.7150/jbji.23952 |
| Popis: | Background: A prosthetic joint infection (PJI) is a serious complication and specifically a burden for patients after hip fracture surgery, as they are mostly frail elderly patients with multiple comorbidities. Since treatment protocols are lacking there is a need to evaluate current practice.Aim: To evaluate the difference in prosthesis retention after an infected primary total hip replacement (THR) compared to PJI after hip prosthesis surgery performed for a hip fracture.Methods: We retrospectively collected data of patients who developed PJI after primary THR or after hip fracture surgery (THR or hemiarthroplasty) in the Westfriesgasthuis Hospital between 1998 and 2015. Main outcome variables were DAIR treatment and prosthesis retention.Findings: A PJI developed in 48 patients after primary THR and in 23 patients after hip fracture surgery. DAIR was performed in all patients after primary THR and in 87.0% of patients after hip fracture surgery (pConclusion: Our results showed that prosthesis retention in patients with a PJI after hip fracture surgery is 23% lower than in patients with a PJI after primary THR. This is probably due to the fact that patients who experience a hip fracture are mostly frail elderly with multiple comorbidities and therefore less able to conquer a PJI. |
| Databáze: | OpenAIRE |
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