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J Bone Jt Infect. 2018 Jul 6;3(3):143-149. doi: 10.7150/jbji.24366. eCollection 2018.

Results and Patient Reported Outcome Measures (PROMs) after One-Stage Revision for Periprosthetic Joint Infection of the Hip: A Single-centre Retrospective Study.

Author information

1
Department of Orthopaedic Surgery, VU University Medical Centre, Amsterdam, the Netherlands.
2
Department of Orthopaedic Surgery, Noord-West Ziekenhuisgroep, Alkmaar, the Netherlands.
3
Department of Orthopaedic Surgery, Spaarne Gasthuis, Hoofddorp, the Netherlands.
4
Department of Internal Medicine, VU University Medical Centre, Amsterdam, the Netherlands.
5
Amsterdam Infection and Immunity Institute, Amsterdam, the Netherlands.

Abstract

Background: Little is known about functional outcome and quality of life (QoL) after one-stage revision for periprosthetic joint infection (PJI) of the hip. Methods: a cohort of 30 subjects treated with one-stage revision between 2011 and 2015 was identified, and questionnaires on functional outcome and QoL were distributed. Results: 28 subjects were successfully treated (93%). Most subjects were referred from other hospitals. Coagulase-negative Staphylococcus was found in 50% of the cases, and 40% of all cultured bacteria were multidrug-resistant. 25% had subsequent revision surgery, unrelated to PJI. Functional outcome was good and QoL scores were high, comparable to prosthetic joint revision surgery in general. Conclusion: Although the cohort was small and statistical analysis was not performed, this study showed that excellent results can be obtained with one-stage revision for hip PJI. Functional outcome and QoL was comparable to prosthetic joint revision surgery in general.

KEYWORDS:

functional outcome; hip; one-stage revision; outcome; periprosthetic joint infection; quality of life

Conflict of interest statement

Competing Interests: One of the authors performed unpaid consulting services for Debiopharm, received royalties as a book editor from Informa UK ltd., and has been a board member for several Dutch and international expert groups on wound care and diabetic foot infections.

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