Functional and Emotional Results Differ after Aseptic vs Septic Revision Hip Arthroplasty

Boettner, Friedrich; Cross, Michael B.; Nam, Denis; Kluthe, Tobias; Schulte, Miriam; Goetze, Christian

doi:10.1007/s11420-011-9211-6

Cited by 27 publications

(26 citation statements)

References 21 publications

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“…Merle d'Aubigné and Postel score in the aseptic group was 12.5 points (5-18) and 13.1 points (4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18) in the septic group. Mean level of persisting pain was 0.7 in the aseptic group and 0.6 in the septic group (VAS; best 0, worst 10).…”

Section: Resultsmentioning

confidence: 87%

“…There was a promising revision rate of 8.1 % in the aseptic group (Kaplan-Meier survival rate 85.6 %) after 9.8 years, [9,13] reported a revision rate of 20.8 % for septic and 10 % for aseptic groups. Recurrent dislocation is one of the common problems after revision THA.…”

Section: Discussionmentioning

confidence: 91%

“…However, very different results have been shown for septic two-stage hip revisions in comparison to aseptic one-stage revision surgeries with short follow-ups or inconsistant inclusion criteria and using multiple implant types [9,13,30]. Boettner et al reported a poor functional and clinical outcome of septic two-stage revision hip surgeries compared with aseptic revisions, reporting an average HHS of 73.2 for the aseptic group and 57.4 for the septic group [13]. In contrast, our study revealed an HHS of 75.5 points for the aseptic group and 73.4 for the septic group, with no statistically significant difference.…”

Section: Discussionmentioning

confidence: 99%

“…Two-stage revision using an antibiotic-loaded spacer is the favoured treatment option in a chronically infected situation, with a survival rate up to 91 % and an infection eradication rate between 85 % and 100 % [1,[5][6][7][8][9][10][11]. Clinical and functional outcomes of aseptic revision surgery is reportedly higher than those following septic revisions and a higher complication rate in infected cases [9,12,13]. However, there are only very rare clinical reports directly comparing aseptic with septic revision hip arthroplasties.…”

Section: Introductionmentioning

confidence: 99%

“…However, there are only very rare clinical reports directly comparing aseptic with septic revision hip arthroplasties. Most studies with higher patient numbers give short-to mid-term results or compare septic with all types of aseptic revision procedures [9,13]. Because of these shortcomings, we investigated the clinical and radiological outcomes of cementless aseptic revision hip arthroplasties with femoral and acetabular revision in comparison with septic two-stage revision in a retrospective, single-centre consecutive study.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Similar outcomes between two-stage revisions for infection and aseptic hip revisions

Hoberg¹,

Konrads²,

Engelien³

et al. 2015

International Orthopaedics (SICOT)

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Section: Resultsmentioning

confidence: 87%

Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Similar outcomes between two-stage revisions for infection and aseptic hip revisions

Hoberg¹,

Konrads²,

Engelien³

et al. 2015

International Orthopaedics (SICOT)

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Significance of nutritional status in the development of periprosthetic infections

et al. 2020

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Background Malnutrition caused by protein and vitamin deficiencies is a significant negative prognostic factor in surgical wound healing disorders and infections. Particularly in elective surgery, preoperative compensation of deficiencies is advisable to avoid negative postoperative consequences. This study examined the nutritional and protein balance of patients with periprosthetic hip and knee joint infections. Material and methods Patients with periprosthetic hip or knee joint infections constituted the study group (SG). Control group I (CG I) included patients with primary implants and CG II included patients who required revision surgery because of aseptic loosening. Relevant nutritional and protein parameters were determined via analysis of peripheral venous blood samples. In addition, a questionnaire was used to evaluate the nutritional and eating patterns of all patients. The nutritional risk screening (NRS) 2002 score and body mass index (BMI) were also calculated for all participants. Results Differences were found in the albumin level (SG: 36.23 ± 7.34, CG I: 44.37 ± 3.32, p < 0.001, CG II: 44.06 ± 4.24, p < 0.001) and total protein in serum (SG: 65.42 ± 8.66, CG I: 70.80 ± 5.33, p = 0.004, CG II: 71.22 ± 5.21, p = 0.004). The number of patients with lowered albumin levels (SG 19/61, CG I 1/78, CG II 2/55) and total protein in serum (SG: 12/61, CG I 5/78, CG II 2/55) also showed considerable variation. The number of patients with a NRS 2002 score ≥3 differed significantly between SG and both CGs (SG: 5/61, CG I 1/78, CG II 0/55); however, these differences could not be confirmed using BMI. Conclusion As expected, lowered albumin and total protein levels were observed in PJI due to the acute phase reaction. The NRS can be performed to exclude nutritional deficiency, which cannot be excluded based on BMI. In cases of periprosthetic joint infection it is reasonable to compensate the nutritional deficiency with dietary supplements.

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A prospective study concerning the relationship between metal allergy and post-operative pain following total hip and knee arthroplasty

Zeng

Feng

et al. 2014

International Orthopaedics (SICOT)

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Pain caused by metal allergy usually presents as persistent and recurrent pain. The white cell count, C-reactive protein, erythrocyte sedimentation rate and postoperative radiographs were not affected. Currently, patch testing and lymphocyte transforming tests are used for metal allergy diagnosis. We deemed that a relationship between post-surgery pain and metal allergy in total hip and knee patients may exist to some extent. Larger samples and longer follow-up time are essential for further study.

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Functional and Emotional Results Differ after Aseptic vs Septic Revision Hip Arthroplasty

Abstract: Background It is widely believed that a deep implant infection leads to poor functional and emotional outcomes following total hip arthroplasty. Questions

Cited by 27 publications

References 21 publications

Similar outcomes between two-stage revisions for infection and aseptic hip revisions

Similar outcomes between two-stage revisions for infection and aseptic hip revisions

Significance of nutritional status in the development of periprosthetic infections

A prospective study concerning the relationship between metal allergy and post-operative pain following total hip and knee arthroplasty

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