Clinical characteristics and long-term outcomes of septic arthritis of the native hip joint: a 20-year retrospective review.

IF 1.3 4区 医学 Q3 ORTHOPEDICS
HIP International Pub Date : 2024-03-01 Epub Date: 2023-09-20 DOI:10.1177/11207000231200175
Gabriel B Burdick, Lindsay M Maier, Noah A Kuhlmann, Ayooluwa S Ayoola, Bushra Fathima, Stephanie J Muh
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引用次数: 0

Abstract

Background: The primary purpose of this retrospective case series was to describe the prevalence and outcomes of single-stage hip arthroplasty in patients who were previously treated for septic arthritis of the native hip at our institution over a 20-year period. This study also examined rates of persistent or recurrent infection, reoperation, and mortality for septic arthritis of the native hip.

Methods: Adult patients treated for septic arthritis of the native hip at our institution from 1995 to 2015 were retrospectively identified. Exclusion criteria included age <18 years, missing or incomplete medical records, treatment at an outside institution, and prior surgery of the hip.

Results: 97 patients were included in this study. 3 patients (3.1%) who were previously treated for septic arthritis of the native hip underwent single-stage hip arthroplasty an average of 40 ± 25 months from the date of infection. 3 of the 18 (16.7%) patients who were treated with resection arthroplasty underwent second-stage joint reconstruction. There were no cases of periprosthetic joint infection (PJI). 1 patient who underwent single-stage arthroplasty experienced implant-induced metallosis, necessitating removal of the implant. There were no other cases of revision arthroplasty.

Conclusions: The prevalence of single-stage hip arthroplasty in patients with a history of septic arthritis of the native hip joint was 3.1%, which is higher than the prevalence of hip arthroplasty in the United States general population, suggesting that a history of septic arthritis may increase the risk of requiring hip arthroplasty. In the small number of patients who went on to receive a hip replacement, there were no reported cases of PJI. This study suggests that hip arthroplasty is a viable option for patients with symptomatic osteoarthritis and a history of septic arthritis of their hip.

先天性髋关节感染性关节炎的临床特征和长期疗效:一项20年回顾性综述。
背景:本回顾性病例系列的主要目的是描述20年来在我们机构接受过原发性髋关节感染性关节炎治疗的患者中单阶段髋关节置换术的患病率和结果。这项研究还检查了本地髋关节感染性关节炎的持续或复发感染率、再次手术率和死亡率。方法:回顾性分析1995年至2015年在我院接受治疗的成人感染性髋关节炎患者。排除标准包括年龄。结果:97名患者被纳入本研究。3名患者(3.1%)曾接受过自体髋关节感染性关节炎的治疗,他们接受了单期髋关节置换术,平均40例 ± 25 自感染之日起数月。18例接受关节成形术治疗的患者中,有3例(16.7%)接受了二期关节重建。无假体周围关节感染(PJI)病例。1名接受单期关节成形术的患者经历了植入物诱导的金属增生,需要移除植入物。没有其他翻修关节成形术病例。结论:有先天性髋关节感染性关节炎病史的患者中,单期髋关节置换术的患病率为3.1%,高于美国普通人群中髋关节置换的患病率,这表明感染性关节病病史可能会增加需要髋关节置换手术的风险。在少数接受髋关节置换术的患者中,没有PJI病例的报告。这项研究表明,对于有症状的骨关节炎和髋关节感染性关节炎病史的患者来说,髋关节置换术是一种可行的选择。
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来源期刊
HIP International
HIP International 医学-整形外科
CiteScore
4.20
自引率
0.00%
发文量
70
审稿时长
2 months
期刊介绍: HIP International is the official journal of the European Hip Society. It is the only international, peer-reviewed, bi-monthly journal dedicated to diseases of the hip. HIP International considers contributions relating to hip surgery, traumatology of the hip, prosthetic surgery, biomechanics, and basic sciences relating to the hip. HIP International invites reviews from leading specialists with the aim of informing its readers of current evidence-based best practice. The journal also publishes supplements containing proceedings of symposia, special meetings or articles of special educational merit. HIP International is divided into six independent sections led by editors of the highest scientific merit. These sections are: • Biomaterials • Biomechanics • Conservative Hip Surgery • Paediatrics • Primary and Revision Hip Arthroplasty • Traumatology
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