PMID: 15370586Sep 17, 2004Paper

Persistent infection associated with residual cement after resection arthroplasty of the hip

Acta Orthopaedica Scandinavica
Martin ButtaroFrancisco Piccaluga

Abstract

The danger of residual bone cement after resection of infected prosthetic components is controversial. We analyzed 10 patients with infected total hip prosthesis who had been treated previously with resection arthroplasty and antibiotics and who had persistent infection with residual cement. In 9 patients, surgical debridement with resection of all the PMMA was performed, and adequate intravenous antibiotics were administered. 1 patient refused surgical treatment, but accepted antibiotics. At an average of 4 (1-18) years of follow-up, 8 patients had no signs or symptoms of recurrent infection. 1 severely immunodeficient patient died 2 years after the removal of residual cement, for reasons other than his hip. The patient who refused surgical treatment continues to have an active sinus 4 years after first consultation. Residual cement may be responsible for chronic infection. At resection arthroplasty, as part of the treatment of an infected hip arthroplasty, all devitalized or foreign material must be removed.

Citations

Feb 19, 2008·International Orthopaedics·Lucas MarcosFrancisco Piccaluga
Apr 24, 2008·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·O MurilloJ Ariza
Jan 5, 2011·Cell and Tissue Banking·Christine S LewisRonald R Cobb
Sep 8, 2010·Journal of Biomaterials Applications·Christine S LewisRonald R Cobb
Feb 1, 2011·Journal of Orthopaedic Trauma·Chi-Chuan Wu
Jun 6, 2007·Clinical Orthopaedics and Related Research·Valentin AntociJavad Parvizi
Jun 19, 2007·Clinical Orthopaedics and Related Research·Valentin AntociJavad Parvizi
Feb 2, 2017·The Open Orthopaedics Journal·Samer S S MahmoudOmar Sabri
Feb 1, 2018·Expert Review of Medical Devices·Konstantinos Anagnostakos, Bernd Fink
May 23, 2017·Journal of Bone and Joint Infection·Konstantinos Anagnostakos

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