Partial 2-Stage Revision in Chronic Hip Arthroplasty Infections: A Review
| Autor: | Francesco Castagnini, Luca Busanelli, Giovanni Bracci, Enrico Tassinari, Federico Biondi, Claudio Masetti, Aldo Toni |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: | |
| Zdroj: | Hospital Practices and Research, Vol 3, Iss 3, Pp 72-75 (2018) |
| Druh dokumentu: | article |
| ISSN: | 2476-390X 2476-3918 |
| DOI: | 10.15171/hpr.2018.16 |
| Popis: | Background: Periprosthetic hip infections (PHIs) are troublesome complications of hip arthroplasties. The gold standard procedure for treating chronic PHI is a 2-stage approach. Recently, however, more conservative approaches have been developed to spare the osseointegrated components and avoid sequestra, bone loss, devascularization, and difficult reconstructions. The partial two-stage approach, which leaves the well-fixed component in situ and removes the loosened component, may be an effective strategy. Objective: This paper, a narrative mini-review, analyzed the preliminary results of a partial 2-stage approach to treating chronic hip arthroplasty infections. Methods: Pertinent papers describing the partial 2-stage approach (leaving the well-fixed component in situ and removing the loosened component) were collected and evaluated. Results: Six main case series were selected. A total of 76 patients were included. Many patients were treated with socket removal and stem retention with quite similar surgical techniques. Many cases included highly virulent bacteria, and no pre-operative selection about comorbidities was performed. The first outcomes of this approach were promising, with a rate of infection control ranging from 81.3% to 100% at mid-term follow-up. Conclusion: This approach proved good at mid-term follow-up; however, many concerns still exist. In particular, the indications are imprecise, and the role of biofilm is still unclear. Despite the first good outcomes, the partial 2-stage approach for chronic PHI should be validated by multicenter prospective studies. |
| Databáze: | Directory of Open Access Journals |
| Externí odkaz: |
|