The effect of operating-room environment on the infection rate after Charnley low-friction total hip replacement

Brady, LP; Enneking, William F.; Franco, JA

doi:10.2106/00004623-197557010-00014

Cited by 27 publications

(5 citation statements)

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“…Even though some infections may remain undiagnosed because of inadequate bacteriological technique, we consider aseptic operative technique and strict operative routines to be the best prophylaxis. This view is in accordance with that of other authors (Brady et al 1975, Collins & Steinhaus 1976. The important long-term problem following all types of THR is mechanical failure.…”

Section: Discussionsupporting

confidence: 93%

Ten-Year Follow-Up of Müller Hip Replacements

Reikerås¹

1982

Acta Orthopaedica Scandinavica

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Section: Discussionsupporting

confidence: 93%

Ten-Year Follow-Up of Müller Hip Replacements

Reikerås¹

1982

Acta Orthopaedica Scandinavica

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“…Charnley and Cupric 1 observed superficial infection even after strict maintenance of asepsis in 6.6% cases. Brady et al , 18 also reported a rate of 1% infection with air enclosures but without use of any antibiotics.…”

Section: Discussionmentioning

confidence: 99%

Primary cemented total hip arthroplasty: 10 years follow-up

Nath

Chakravarty

et al. 2010

IJOO

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Background:Primary cemented total hip arthroplasty is a procedure for non-traumatic and traumatic affections of the hip. Long term follow-up is required to assess the longevity of the implant and establish the procedure. Indo-Asian literature on long term result of total hip arthroplasty is sparse. We present a 10-year follow-up of our patients of primary cemented total hip arthroplasty.Materials and Methods:We operated 31 hips in 30 patients with primary cemented total hip arthroplasty. We followed the cases for a minimum period of 10 years with a mean follow-up period of 12.7 years. The mean age of the patients was 60.7 years (range 37–82 yrs) male to female ratio was 2:1. The clinical diagnoses included - avascular necrosis of femoral head (n=15), sero positive rheumatoid arthritis (n=5), seronegative spondylo-arthropathy (n=4), neglected femoral neck fractures (n=3), healed tubercular arthritis (n=2) and post traumatic osteoarthritis of hip (n=2). The prostheses used were cemented Charnley’s total hip (n=12) and cemented modular prosthesis (n=19). The results were assessed according to Harris hip score and radiographs taken at yearly intervals.Results:The mean follow-up is 12.7 yrs (range 11-16 yrs) Results in all operated patients showed marked improvement in Harris hip score from preoperative mean 29.2 to 79.9 at 10 years or more followup. However, the non-inflammatory group showed more sustained long term improvement as compared to the inflammatory group, as revealed by the Harris hip score. Mean blood loss was 450ml (±3.7 ml), mean transfusion rate was 1.2 units (±.3). The complications were hypotension (n=7), shortening >1.5 cm (n=9), superficial infection (n=2) and malposition of prosthesis (n=1).Conclusion:The needs of Indian Asian patients, vary from what is discussed in literature. The pain tolerance is greater than western population and financial constraints are high. Thus revision surgery among Indian-Asian patients is less compared to western yard sticks.

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“…3,5,12,14 Finalmente, la disminución de infecciones con el advenimiento de importantes avances en la antisepsia quirúrgica, indica que una significativa porción de éstas son el resultado de inoculación peri operatoria. 6,8,12,17 El microorganismo más frecuentemente encontrado como causante de infección es Staphylococcus epidermidis (en 30% de los casos resistente a meticilina), seguido de Staphylococcus aureus (con 5% de resistencia a meticilina). Con menor frecuencia se observan bacilos Gram negativos, destacando Escherichia coli y Pseudomonas aeruginosa.…”

Section: Patogeniaunclassified

Diagnóstico y manejo de la artroplastía de cadera infectada

2000

Rev. chil. infectol.

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INTRODUCCIONLos reemplazos articulares de caderas enfermas alivian el sufrimiento y restauran la función de miles de personas año tras año.En E.U.A. se realizan 250.000 artroplastías de cadera anualmente. Sin embargo, como todo acto quirúrgico, no están exentas de complicaciones siendo la infección periprotésica sin duda la más temida, tanto por los costos emocionales inherentes al largo proceso de tratamiento a seguir, como por la implicancia económica que ésta tiene. El costo anual que representa el tratamiento de una artroplastía infectada en E.U.A. fue estimado en 1984 entre 40 y 80 millones de dólares. Actualmente se considera que un pa- Rev Chil Infect (2000); 17 (2): 92-100 INFECTOLOGIA AL DIA DIAGNOSIS AND TREATMENT OF HIP PROSTHESIS INFECTIONThe periprosthetic infection that occurs in about 1% of total hip arthroplasties, implies high emotional and economical cost for the patient and for health care systems, respectively. In this article the pathophysiology of this complication and the disposable diagnostic resources are reviewed. Two alternative treatments have been proposed: debridement with prosthesis retention or resection of the arthroplasty (in one or two times). Topical antibiotic benefits used for the prevention of prosthesis infection at total hip arthroplasty are refered.

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The effect of operating-room environment on the infection rate after Charnley low-friction total hip replacement

Cited by 27 publications

References 0 publications

Ten-Year Follow-Up of Müller Hip Replacements

Ten-Year Follow-Up of Müller Hip Replacements

Primary cemented total hip arthroplasty: 10 years follow-up

Diagnóstico y manejo de la artroplastía de cadera infectada

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