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MINERVA ORTOPEDICA E TRAUMATOLOGICA

A Journal on Orthopedics and Traumatology


Official Journal of the Piedmontese-Ligurian-Lombard Society of Orthopedics and Traumatology
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Minerva Ortopedica e Traumatologica 2014 June;65(3):243-9

Copyright © 2014 EDIZIONI MINERVA MEDICA

language: English

Management strategies of prosthetic joint infections of the hip

Viste A. 1, 2, 3, 4, Robin J. 3, 5, 6, Laurent F. 2, 3, 7, Ferry T. 2, 3, 8, Lustig S. 2, 3, 4, 5

1 Hospices Civils de Lyon, Centre Hospitalier Lyon Sud, Chirurgie Orthopédique et Traumatologique, Pierre Bénite Cedex, France; 2 Université de Lyon, Lyon, France; 3 Université Claude Bernard Lyon 1, Villeurbanne, France; 4 IFSTTAR, UMR_T9406, LBMC Laboratoire de Biomécanique et Mécanique des Chocs, Bron, France; 5 Chirurgie Orthopédique, Centre Albert Trillat, Hospices Civils de Lyon, Hôpital de la Croix Rousse, Grande Rue de la Croix Rousse, Lyon, France; 6 Department of Orthopedic Surgery, Box Hill Hospital, Victoria, Australia; 7 Laboratoire de Bactériologie, Hospices Civils de Lyon, Hôpital de la Croix Rousse, Lyon, France; 8 Centre Régional Infections Ostéo‑articulaires, Hospices Civils de Lyon, Hôpital de la Croix Rousse, Lyon, France


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Prosthetic joint infection (PJI) of the hip remains a devastating and costly complication of total hip arthroplasty. The treatment depends on many factors: host comorbidities, the duration of symptoms and the infecting organism. Irrigation and debridement can be performed for acute cases accompanied by modular component exchange. For chronic infections, a single-stage or two-stage revision is possible depending on the patient’s general health. If revision is not possible, antibiotic suppression or a resection arthroplasty (Girdlestone procedure) may be indicated. In all cases, a multidisciplinary team approach must be utilized, coordinated by the orthopedic surgeon and the specialist in infectious diseases. The eradication of infection is essential whilst maintaining optimal hip function.

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anthony.viste@chu-lyon.fr