A Midterm Analysis of Outcomes of Septic Arthritis of Hip Treated With Two Stage Cement Spacer and Total Hip Arthroplasty

Document Type : RESEARCH PAPER

Authors

1 Fortis Hospital, Mohali, Punjab, India

2 Max Superspecialty Hospital, Mohali, Punjab, India

Abstract

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

Keywords

Main Subjects

References

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The Archives of Bone and Joint Surgery
Volume 12, Issue 10
October 2024
Pages 690-694

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History

  • Receive Date: 17 August 2022
  • Revise Date: 14 August 2024
  • Accept Date: 18 August 2024

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