High 2-year mortality and recurrent infection rates after surgical treatment for primary septic arthritis of the hip in adult patients: An observational study

Medicine
Feng-Chen KaoI-Ming Jou

Abstract

Primary septic arthritis of the hip is rare and potentially devastating in adults. Its optimal surgical treatment and clinical outcomes remain unclear.In this retrospective cohort study, we investigated mortality and reinfection rates after surgery of patients with septic hip arthritis. We reviewed patients treated for primary septic hip joints from October 2005 to December 2016. A total of 51 adult patients were identified, and 38 among them had destructive hip joints. A poor postoperative outcome was defined as mortality or recurrent infection within 2 years of surgery.After surgery, 7 (13.7%) patients died within 1 year and 5 (9.8%) patients developed a recurrent hip infection within 2 years. Therefore, poor outcomes occurred in 22% (n = 11) of the study cohort. Among the 38 patients with a destructive hip joint, 7 (18.4%) died within 1 year after surgery and 4 (10.5%) developed a recurrent hip infection within 2 years of surgery. Correlative infections other than infected hip joint and liver cirrhosis were identified as risk factors for poor outcomes.In conclusion, clinical physicians treating adult primary septic hip joints should be cognizant of the high failure rate of surgical treatment. In addition, the high mortality ...Continue Reading

References

Jun 1, 1986·Annals of the Rheumatic Diseases·C Cooper, M I Cawley
Mar 21, 1985·The New England Journal of Medicine·D L Goldenberg, J I Reed
Dec 1, 1993·International Orthopaedics·J Evrard, B Soudrie
Dec 1, 1996·Epidemiology and Infection·D S MorganB J Currie
Feb 5, 1998·Lancet·D L Goldenberg
Nov 4, 2000·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·G StutzA Gächter
Feb 24, 2001·The Journal of Bone and Joint Surgery. American Volume·K D RiewH H Bohlman
Feb 5, 2003·Clinical Orthopaedics and Related Research·William P H CharltonGina Ann Bissett
Apr 8, 2004·The Journal of Bone and Joint Surgery. American Volume·Saam MorshedMichael D Ries
Jun 7, 2008·The Journal of Arthroplasty·Sanket R DiwanjiTaek Rim Yoon
Aug 8, 2008·Revista española de geriatría y gerontología·Joaquina María Manjón-Cabeza SubiratAna Ubeda Tikkanen
Aug 12, 2009·International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases·Dario RegisPietro Bartolozzi
Oct 17, 2009·International Journal of Medical Sciences·Udo Geipel
Nov 3, 2010·Orthopaedics & Traumatology, Surgery & Research : OTSR·T BauerP Hardy
Apr 27, 2011·Clinical Orthopaedics and Related Research·Erin E FleckChristopher P Beauchamp
Feb 7, 2012·The American Journal of Emergency Medicine·Ernesto Muñoz-MahamudSebastián García
Apr 5, 2012·BMC Musculoskeletal Disorders·Giovanni ManziCarlo L Romanò
Apr 4, 2015·The Journal of Bone and Joint Surgery. American Volume·Joshua G HunterJohn T Gorczyca
Apr 22, 2016·Archives of Orthopaedic and Trauma Surgery·Konstantinos AnagnostakosKatrin Koch
Nov 2, 2016·Advances in Orthopedics·Jörg Hartmut SchröderMartin Hufeland
Sep 20, 2018·Archives of Orthopaedic and Trauma Surgery·Christian LausmannAkos Zahar

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Citations

Dec 4, 2021·BMC Musculoskeletal Disorders·Giovanni BalatoMassimo Mariconda

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Methods Mentioned

BETA
total-hip arthroplasty
total hip arthroplasty

Software Mentioned

SPSS

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