1-stage primary arthroplasty of mechanically failed internally fixated of hip fractures with deep wound infection. (August 2013)

• Record Type: Journal Article
• Authors: Klatte, Till O; O'Loughlin, Padraigh F; Citak, Mustafa; Rueger, Johannes M; Gehrke, Thorsten; Kendoff, Daniel
• Is Part Of: Acta orthopaedica. Volume 84:Number 4(2013)
• Page Start: 377
• Page End: 379
• Publication Date: 2013-08
• Subjects: Orthopedics -- Periodicals; 616.7005
• DOI: 10.3109/17453674.2013.810520
• Languages: English
• ISSNs: 1745-3674

Abstract

<abstract> <title> <x xml:space="preserve">Abstract</x> </title> <p> <bold>Background and purpose</bold> Mechanically failed internal fixation following hip fracture is often treated by salvage arthroplasty. If deep wound infection is present, a 2-stage procedure is often used. We have used a 1-stage procedure in infected cases, and we now report the outcome.</p> <p> <bold>Patients and methods</bold> We reviewed 16 cases of deep wound infection after mechanically failed hip fracture fixation, treated between 1994 and 2010. In all patients, a joint prosthesis was implanted in a 1-stage procedure.</p> <p> <bold>Results</bold> After an average follow-up period of 12 (2–18) years, no reinfection was detected. In 4 cases, a hip dislocation occurred and 3 of these needed further surgery.</p> <p> <bold>Interpretation</bold> A 1-stage procedure for arthroplasty of an infected, mechanically failed hip fracture fixation is feasible and carries a low risk of infection.</p> </abstract>