Ase. Younger et al., THE OUTCOME OF 2-STAGE ARTHROPLASTY USING A CUSTOM-MADE INTERVAL SPACER TO TREAT THE INFECTED HIP, The Journal of arthroplasty, 12(6), 1997, pp. 615-623
Sixty-one patients undergoing a two-stage revision of an infected hip
using a prosthesis of antibiotic-loaded acrylic cement were followed f
or an average of 43 months. Twelve patients were excluded (3 died, 6 h
ad no proven infection, and 2 no second stage). Only 1 patient was los
t to follow-up evaluation from those included, for a retrieval rate of
98% for those still living. Of the remaining 48 patients, 3 had furth
er sepsis: Two became reinfected with different organisms and 1 with t
he same organism, for an infection eradication rate of 94%. The other
45 had no clinical, laboratory, or radiographic evidence of infection.
Thirty-seven patients (80%) had a Harris hip score greater than 80 or
an improvement of at least 30 points.