Should well-fixed uncemented femoral components be revised in infected hip arthroplasty? Report of five trial cases

Kiyokazu Fukui; Ayumi Kaneuji; Syusuke Ueda; Tadami Matsumoto

doi:10.1016/j.jor.2015.09.006

Should well-fixed uncemented femoral components be revised in infected hip arthroplasty? Report of five trial cases

J Orthop. 2015 Nov 1;13(4):437-442. doi: 10.1016/j.jor.2015.09.006. eCollection 2016 Dec.

Authors

Kiyokazu Fukui¹, Ayumi Kaneuji¹, Syusuke Ueda¹, Tadami Matsumoto¹

Affiliation

¹ Department of Orthopaedic Surgery, Kanazawa Medical University, Kahoku-gun, Ishikawa 920-0293, Japan.

Abstract

Background: Well-fixed femoral component removal remains difficult and complicated.

Methods: We report herein the outcomes of two-stage surgery involving retention of bone-ingrown uncemented stems, aggressive soft-tissue debridement, and delayed reimplantation of an acetabular component in 5 patients for infected hip arthroplasty.

Results: By a mean follow-up point of 4.2 years after the second-stage operation, none of the 5 patients experienced recurrence of infection, and the mean Harris hip score had improved from 63 to 86 points by the latest follow-up evaluation.

Conclusion: Two-stage revision with retention of well-fixed uncemented stems could be an alternative treatment option in hip periprosthetic infection.

Keywords: FDG-PET; Fluorodeoxyglucose positron-emission tomography; Infected hip arthroplasty; Two-stage revision; Uncemented femoral component retention.