A Midterm Analysis of Outcomes of Septic Arthritis of Hip Treated With Two Stage Cement Spacer and Total Hip Arthroplasty | ||
| The Archives of Bone and Joint Surgery | ||
| مقاله 3، دوره 12، شماره 10، دی 2024، صفحه 690-694 اصل مقاله (645.85 K) | ||
| نوع مقاله: RESEARCH PAPER | ||
| شناسه دیجیتال (DOI): 10.22038/abjs.2024.67176.3193 | ||
| نویسندگان | ||
| Anmol sharma* 1؛ Sandeep Gupta1؛ Anisha Sethi2؛ Jagseer Singh1 | ||
| 1Fortis Hospital, Mohali, Punjab, India | ||
| 2Max Superspecialty Hospital, Mohali, Punjab, India | ||
| چکیده | ||
| Objectives: Septic arthritis of the hip, if not managed early and adequately, leads to degenerative arthritis with pain and debility. Various treatment options have been recommended, but no guidelines for the same have been established. Aim of the study is to evaluate the efficacy of our protocol for timing of staging using serological markers, rate of periprosthetic joint infection, midterm implant survivorship and functional outcomes. Methods: Thirteen patients, aged 25 years and above, suffering from degenerative hip arthritis secondary to septic hip, were treated with 2 stage total hip replacement according to our protocol and serological markers were assessed for the timing of stages and follow up of infection control. Outcome of success of two stage total hip arthroplasty was assessed using modified Delphi criteria. Results: Both acetabulum and femur head were involved in all cases. Two patients had history of a previous hip surgery. Most common micro-organism detected in intraoperative cultures was Staphylococcus aureus. Mean Harris Hip Score at final follow up was 82.33. Final outcome was deemed to be excellent in 84.6 % and good in 15.4 % cases. Conclusion: Septic arthritis of the hip leading to end stage degenerative joint disease can be effectively managed with two stage total hip arthroplasty with good to excellent clinical and functional results. Level of evidence: IV | ||
| کلیدواژهها | ||
| Arthritis؛ Arthroplasty؛ Cement؛ Hip؛ Septic؛ Spacer | ||
| مراجع | ||
|
1. Matthews PC, Dean BJ, Medagoda K, et al. Native hip joint septic arthritis in 20 adults: delayed presentation beyond three weeks predicts need for excision arthroplasty. J Infect. 2008; 57(3):185-190. doi:10.1016/j.jinf.2008.07.001. 2. Mathews CJ, Weston VC, Jones A, Field M, Coakley G. Bacterial septic arthritis in adults. Lancet. 2010; 375(9717):846-855. doi:10.1016/S0140-6736(09)61595-6. 3. Charlton WP, Hozack WJ, Teloken MA, Rao R, Bissett GA. Complications associated with reimplantation after girdlestone arthroplasty. Clin Orthop Relat Res. 2003 ;(407):119-126. doi:10.1097/00003086-200302000-00019. 4. Chen CE, Wang JW, Juhn RJ. Total hip arthroplasty for primary septic arthritis of the hip in adults. Int Orthop. 2008; 32(5):573-580. doi:10.1007/s00264-007-0366-1. 5. Anagnostakos K, Duchow L, Koch K. Two-stage protocol and spacer implantation in the treatment of destructive septic arthritis of the hip joint. Arch Orthop Trauma Surg. 2016; 136(7):899-906. doi:10.1007/s00402-016-2455-3. 6. Fleck EE, Spangehl MJ, Rapuri VR, Beauchamp CP. An articulating antibiotic spacer controls infection and improves pain and function in a degenerative septic hip. Clin Orthop Relat Res. 2011; 469(11):3055-3064. doi:10.1007/s11999- 011-1903-1. 7. Carpenter CR, Schuur JD, Everett WW, Pines JM. Evidencebased diagnostics: adult septic arthritis. Acad Emerg Med. 2011; 18(8):781-796. doi:10.1111/j.1553- 2712.2011.01121.x. 8. Harris WH. Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. An endresult study using a new method of result evaluation. J Bone Joint Surg Am. 1969; 51(4):737-755. 9. Diaz-Ledezma C, Higuera CA, Parvizi J. Success after treatment of periprosthetic joint infection: a Delphi-based international multidisciplinary consensus. Clin Orthop Relat Res. 2013; 471(7):2374-2382. doi:10.1007/s11999-013- 2866-1. 10. Grauer JD, Amstutz HC, O'Carroll PF, Dorey FJ. Resection arthroplasty of the hip. J Bone Joint Surg Am. 1989; 71(5):669-678. 11. Marchetti PG, Toni A, Baldini N, et al. Clinical evaluation of 104 hip resection arthroplasties after removal of a total hip prosthesis. J Arthroplasty. 1987; 2(1):37-41. doi:10.1016/s0883-5403(87)80029-3. 12. Seo JG, Moon YW, Park SH, Han KY, Kim SM. Primary total knee arthroplasty in infection sequelae about the native knee. J Arthroplasty. 2014; 29(12):2271-2275. doi:10.1016/j.arth.2014.01.013. 13. El-Ganzoury I, Eid AS. Two-stage arthroplasty using functional temporary prosthesis to treat infected arthroplasty and septic arthritis of the hip. J Orthop. 2014; 12(Suppl 1):S86-S93. doi:10.1016/j.jor.2014.04.006. 14. D'Angelo F, Monestier L, Zagra L. Active septic arthritis of the hip in adults: what's new in the treatment? A systematic review. EFORT Open Rev. 2021; 6(3):164-172. doi:10.1302/2058-5241.6.200082. 15. Huang TW, Huang KC, Lee PC, Tai CL, Hsieh PH. Encouraging outcomes of staged, uncemented arthroplasty with shortterm antibiotic therapy for treatment of recalcitrant septic arthritis of the native hip. J Trauma. 2010; 68(4):965-969. doi:10.1097/TA.0b013e3181af6e70. 16. Russo A, Cavagnaro L, Chiarlone F, Clemente A, Romagnoli S, Burastero G. Clinical outcomes and survivorship of two-stage total hip or knee arthroplasty in septic arthritis: a retrospective analysis with a minimum five-year follow-up. Int Orthop. 2021; 45(7):1683-1691. doi:10.1007/s00264- 021-05013-5. 17. Barton CB, Wang DL, An Q, Brown TS, Callaghan JJ, Otero JE. Two-Stage Exchange Arthroplasty for Periprosthetic Joint Infection Following Total Hip or Knee Arthroplasty Is Associated With High Attrition Rate and Mortality. J Arthroplasty. 2020; 35(5):1384-1389. doi:10.1016/j.arth.2019.12.005. 18. Burastero G, Alessio-Mazzola M, Cavagnaro L, et al. Conservative two-stage revision with primary components of infected total hip arthroplasty: An analysis of survival, clinical and radiographic outcomes. PLoS One. 2020; 15(10):e0239981. Published 2020 Oct 1. doi:10.1371/journal.pone.0239981. 19. Alessio-Mazzola M, Repetto I, Russo A, et al. Permanent Spacers Are a Reliable Solution for Peri-prosthetic Shoulder Infection: A Systematic Review. HSS J. 2020; 16(3):272-279. doi:10.1007/s11420-020-09755-7. 20. Guntin J., Serino J., Rossi D., Boniello A., Gusho C., Della Valle C. Hypoalbuminemia Increases Mortality after Two-Stage Revision Total Joint Arthroplasty. Arch Bone Jt Surg. 2023; 11(3): 173-179. doi: 10.22038/abjs.2022.65148.3123. 21. Shahi A., Parvizi J. Prevention of Periprosthetic Joint Infection. Arch Bone Jt Surg.2015; 3(2): 72-81. doi: 10.22038/abjs.2015.3938. | ||
|
آمار تعداد مشاهده مقاله: 292 تعداد دریافت فایل اصل مقاله: 230 |
||