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The arthroscopic drainage, irrigation, and débridement of late, acute total hip arthroplasty infections: Average 6-year follow-up
Journal article   Peer reviewed

The arthroscopic drainage, irrigation, and débridement of late, acute total hip arthroplasty infections: Average 6-year follow-up

Jon L. Hyman, Eduardo A. Salvati, Cato T. Laurencin, David E. Rogers, Michael Maynard and Barry D. Brause
The Journal of arthroplasty, v 14(8), pp 903-910
1999
DOI: https://doi.org/10.1016/S0883-5403(99)90001-3
PMID: 10614878
Featured in Collection :   UN Sustainable Development Goals @ Drexel

Abstract

hip arthroscopy infection total hip arthroplasty
We present our experience with arthroscopy for the treatment of late, acute periprosthetic hip infections in 8 consecutive patients, treated from 1989 to 1994. After a hip aspiration confirmed the presence of bacterial infection, all patients underwent prompt arthroscopic treatment, which consisted of drainage, lavage, and débridement. Postoperatively, patients were given 2 to 6 weeks of intravenous antibiotics, followed by long-term oral antibiotic suppression. At a mean follow-up of 70 months (range, 29–104 months), no recurrence of infection occurred. No progressive radiographic loosening was noted. Based on this initial study, we believe that arthroscopic irrigation and débridement can benefit well-selected patients who suffer late, acute hip periprosthetic infections. Effective treatment requires early diagnosis, prompt arthroscopic débridement, well-fixed components, a sensitive microorganism, and patient tolerance to and compliance with the antibiotic therapy.

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32 citations in Web of Science
50 citations in Scopus

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Web of Science research areas
Orthopedics
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