PMID: 8609130Apr 1, 1996Paper

Infection after total hip arthroplasty. A study of the treatment of one hundred and six infections

The Journal of Bone and Joint Surgery. American Volume
D T TsukayamaR B Gustilo

Abstract

We evaluated the results of treatment for ninety-seven patients (106 infections in ninety-eight hips) who had had either an infection after a total hip arthroplasty or positive intraoperative cultures of specimens obtained during revision of a total hip arthroplasty for presumed aseptic loosening. The patients were managed according to various protocols on the basis of the clinical setting (positive intraoperative cultures, early postoperative infection, late chronic infection, or acute hematogenous infection). Aerobic gram-positive cocci accounted for 109 (74 per cent) of the 147 microbial isolates; gram-negative bacilli, for twenty-one (14 per cent); and anaerobes, for twelve (8 per cent). The white blood-cell count and erythrocyte sedimentation rate were elevated in association with seventeen (16 per cent) and sixty-seven (63 per cent) of the 106 infections, respectively. The mean duration of follow-up was 3.8 years (range, 0.3 to eleven years). A good result was noted after the initial treatment of twenty-eight (90 per cent) of the thirty-one infections that had been diagnosed on the basis of positive intraoperative cultures at the time of the revision, twenty-five (71 per cent) of the thirty-five early postoperative infect...Continue Reading

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Oct 16, 2013·Dr Valerie ZELLER

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Citations

Oct 27, 1999·The Journal of Bone and Joint Surgery. American Volume·H SegawaR B Gustilo
Dec 28, 1999·Clinical Orthopaedics and Related Research·F S HaddadC P Duncan
Oct 18, 2000·Journal of Biomedical Materials Research·M W NijhofA J Verbout
Jan 12, 2001·Clinical Orthopaedics and Related Research·B R Levine, B G Evans
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Nov 24, 2004·Clinical Orthopaedics and Related Research·Steven J VolinKevin L Garvin
Oct 6, 2005·Clinical Orthopaedics and Related Research·C E MarculescuD R Osmon
Aug 18, 2006·Journal of Orthopaedic Surgery·Z F Zairul-Nizam, B S Badaruddin
Feb 25, 2006·The Journal of Bone and Joint Surgery. British Volume·O S SchindlerM D Smith
Oct 7, 2006·Der Pathologe·M OttoS Bertz
Nov 1, 2006·The Journal of Bone and Joint Surgery. British Volume·K A MichalakD J Wood
Feb 24, 2007·Annals of the Royal College of Surgeons of England·D J Cloke, P F Partington
Jan 5, 2007·The Journal of Small Animal Practice·S L Girling, J F Innes
Apr 18, 2007·Clinical Orthopaedics and Related Research·Fang-Yao Chiu, Chuan-Mu Chen
Oct 14, 2008·Clinical Orthopaedics and Related Research·Jordi CuñéJosep Mensa
Apr 22, 2008·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Lazaros A PoultsidesKonstantinos N Malizos
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May 8, 2010·The Open Orthopaedics Journal·Philippe HernigouA Poignard
Jun 15, 2010·Clinical Orthopaedics and Related Research·José Cordero-Ampuero, Marisol de Dios
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Nov 9, 2010·Orthopedics·Angel AsensioAntonio Ramos
Dec 15, 2010·Der Unfallchirurg·R OheimU J Gerlach
Nov 17, 2010·Clinical Orthopaedics and Related Research·Ho-Rim ChoiHenrik Malchau
Aug 28, 2010·The Journal of Bone and Joint Surgery. British Volume·S I S OussedikF S Haddad
Aug 4, 2011·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Eric SennevilleHenri Migaud
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Apr 9, 2013·BMC Musculoskeletal Disorders·Aaron J JohnsonMichael A Mont
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Dec 26, 2013·Knee Surgery & Related Research·Javad ParviziClaudio Diaz-Ledezma
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Jul 19, 2014·World Journal of Orthopedics·Konstantinos Anagnostakos, Cornelia Schmitt
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Aug 15, 2015·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Michael DrexlerDavid Backstein

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