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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2023; 58(05): e781-e789
DOI: 10.1055/s-0043-1776132
Artigo Original
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Comparison of Surgical Procedures in the Treatment of Hip Periprosthetic Infection

Article in several languages: português | English
Ricardo Tomé Branco 
1   Médico ortopedista e Traumatologista, Serviço de Ortopedia e Traumatologia, Unidade Local de Saúde Alto Minho, Viana do Castelo, Portugal
,
Eurico Bandeira Rodrigues 
2   Médico ortopedista e Traumatologista, Serviço de Ortopedia e Traumatologia, Hospital de Braga, Braga, Portugal
› Author Affiliations Financial Support The present research received no specific funding from public, commercial, or not-for-profit sector agencies.
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Abstract

Objective The present study aimed to compare the cure rate recovery time and Merle d'Aubigné-Postel functional (MAPF) score after single-stage surgery (C1T) or two-stage surgery (C2T) to treat prosthetic infections of the hip considering sociodemographic and clinical features of the patients.

Materials and Methods The present retrospective study occurred in a single center from 2011 to 2014 with 37 studied cases including 26 treated with C1T and 11 with C2T. We compared the cure rate recovery time and MAPF score in the two groups as well as the sociodemographic and clinical features of the patients. We also considered surgical complications and the most common infectious agents.

Results The C1T group had a faster functional recovery than the C2T group but there were no significant differences in the cure rate surgical complications or MAPF score. However C1T group patients were significantly younger which may have influenced the outcomes. Staphylococcus spp. was the most common infectious agent (62%).

Conclusion Although C2T appears superior regarding infection cure C1T may be preferable for faster functional recovery. However it is critical to consider individual patient characteristics when choosing treatment. Further research with a larger sample size is required to confirm these results.

Keywords

arthroplasty, replacement, hip - prosthesis-related infections - hip prosthesis - recovery of function - reoperation

Work developed at the Orthopedic and Traumatology Service, Alto Minho Local Health Unit, Viana do Castelo, Portugal.




Publication History

Received: 19 March 2023

Accepted: 05 May 2023

Article published online:
30 October 2023

© 2023. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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