Selective Component Retainment in the Treatment of Chronic Periprosthetic Infection After Total Hip Arthroplasty: A Systematic Review
Authors
Rosinsky PJ, Greenberg A, Amster-Kahn H, Campenfeldt P, Domb BG, Kosashvili Y
DOI: 10.5435/JAAOS-D-19-00457
Background
Chronic infections after total hip replacement (THA) are a serious complication, often requiring complete revision surgery. However, in some cases, it may be possible to retain well-fixed components and only replace the infected parts.
Methods
This systematic review analyzed nine studies to evaluate the success rates of selective revision surgeries, where well-fixed components were preserved during treatment for chronic infections after THA.
Key Findings
Selective revision (retaining well-fixed components) showed high success rates (89.4% overall) for treating chronic infections after hip replacement, with femoral revision being more successful than acetabular revision.
Conclusions
In certain cases of chronic hip infections, preserving well-fixed components during surgery can be an effective and successful option, although the quality of the studies reviewed was not high.
What Does This Mean for Patients
If you experience an infection after hip replacement, selective revision surgery might be a viable option to avoid a full replacement, with high success rates. However, it’s essential to discuss all options with your doctor.