The influence of bearing surfaces on periprosthetic hip infections: analysis of thirty nine thousand, two hundred and six  cementless total hip arthroplasties

Bordini, Barbara; Stea, Susanna; Castagnini, Francesco; Busanelli, L; Giardina, Federico; Toni, Aldo

doi:10.1007/s00264-018-4097-2

Cited by 25 publications

(19 citation statements)

References 22 publications

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“…Metal-on-metal interfaces are more prone to infections, probably due to necrosis and immunomodulation induced by metal particle release (Bordini et al. 2019). Mixing metals may even worsen the local situation.…”

Section: Discussionmentioning

confidence: 99%

“…The Register of Prosthetic Orthopedic Implants (RIPO) is a regional database (surveillance over 4,500,000 inhabitants) recording clinical conditions of patients, surgical procedures, implant characteristics, i.e., fixation, head size and material, and type of acetabular cup and stem (RIPO 2018, Bordini et al. 2019). Primary and revision hip and knee replacement surgeries are included.…”

Section: Methodsmentioning

confidence: 99%

“…Conversely, patients undergoing arthroplasty procedures in Emilia Romagna but living outside the region were excluded from the analysis, as these patients had no stable connections with the regional health system (Bordini et al. 2019). In the RIPO we identified all cases with stem retention and head exchange during 2000–2016.…”

Section: Methodsmentioning

confidence: 99%

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Registry study on failure incidence in 1,127 revised hip implants with stem trunnion re-use after 10 years of follow-up: limited influence of an adapter sleeve

et al. 2019

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Background and purpose — Little is known about the role of retained trunnions in revision hip arthroplasties, i.e., when only the femoral head is substituted. Wear (fretting corrosion) and ceramic head fractures are 2 poorly understood concerns related to use, and the role of adapter sleeves has not been defined. In this registry study we assessed the influence of sleeve interposition on re-revision rates in revision hip arthroplasties with retained stems. Confounding factors (demographics, implant-related features) and failures were also analyzed.Patients and methods — We conducted a registry study on 1,127 revised implants (retained trunnion and head exchange). In 26% of implants an adapter sleeve was interposed; in 74% no adapter sleeve was implanted. Demographic and implant-related features were investigated including a descriptive analysis of failures.Results — The mean follow-up of revised implants with and without the use of an adapter sleeve was 3.3 and 5.1 years, respectively. The implant survival without an adapter sleeve was significantly higher, 98.4% (95% CI 96.9–99.8) vs. 95.2% (CI 93.2–96.6) with an adapter sleeve at 5 years. No re-revisions due to adverse local tissue reactions or ceramic head fractures were reported. In order to overcome the different distribution of head materials and head sizes in the two cohorts, only Delta balls were investigated.Interpretation — Adapter sleeve interposition had a minor influence on the revision rates. No adverse local tissue reactions or head fractures occurred.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Registry study on failure incidence in 1,127 revised hip implants with stem trunnion re-use after 10 years of follow-up: limited influence of an adapter sleeve

et al. 2019

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“…For what concerns primary total hip arthroplasty (THAs), it has been reported that the number of interventions of this kind performed in the United States continues to increase each year, as does the incidence of infectious complications. The changing profile of antibiotic resistant bacteria has made preventing and treating primary THA infections increasingly complex [18].…”

Section: Discussionmentioning

confidence: 99%

In vitro activity of essential oils against Pseudomonas aeruginosa isolated from infected hip implants

Amorese

Donadu

Usai

et al. 2018

J Infect Dev Ctries

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Introduction: Essential oils have been used since ancient times and are known for their anti-inflammatory, anti-depressive, antiseptic, antifungal and antimicrobial properties. Methodology: in this study the antimicrobial activity of two essential oils from Melaleuca alternifolia and Thymus vulgaris–red thyme geraniol was tested against 16 multidrug-resistant P. aeruginosa strains from infected hip implants as well as the “in vitro” cytotoxic activity on normal human Wong-Kilbourne derivative (WKD) cells. Results: Thymus vulgaris–red thyme geraniol showed lower antimicrobial activity when compared to Melaleuca alternifolia. All tested oils were cytotoxic at concentrations lower than 0.12%. Conclusion: Increase in drug resistance and lack of new antibiotics may encourage the development of natural treatments together with higher concern on environmental issues and natural lifestyle.

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“…Also, periprosthetic hip infections are correlated with metal-on-metal (MoM) coupling, particularly in stemmed implants and with higher risks, probably due to metal debris consequent to taperosis. Despite the preliminary results, stemmed MoM THAs should be used with care and diabetic patients should be warned about increased septic risks [13].…”

Section: Hipmentioning

confidence: 97%

The history of Italian Orthopaedics

Papalia

Falez

2018

International Orthopaedics (SICOT)

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The influence of bearing surfaces on periprosthetic hip infections: analysis of thirty nine thousand, two hundred and six cementless total hip arthroplasties

Cited by 25 publications

References 22 publications

Registry study on failure incidence in 1,127 revised hip implants with stem trunnion re-use after 10 years of follow-up: limited influence of an adapter sleeve

Registry study on failure incidence in 1,127 revised hip implants with stem trunnion re-use after 10 years of follow-up: limited influence of an adapter sleeve

In vitro activity of essential oils against Pseudomonas aeruginosa isolated from infected hip implants

The history of Italian Orthopaedics

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