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SICOT J. 2019;5:5. doi: 10.1051/sicotj/2019004. Epub 2019 Feb 28.

Periprosthetic joint infections after total hip replacement: an algorithmic approach.

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Foothills Medical Centre, 1403 29 St NW Calgary, AB T2N 2T9, Canada.
University College London Hospital, 235 Euston Road, London NW1 2BU, UK.


An algorithm for managing periprosthetic joint infections (PJIs) after total hip replacement (THR) surgery using a multidisciplinary approach and a clearly defined protocol may improve infection eradication rates. In this article, we present an algorithm for the management of different types of PJIs including the acutely infected cemented and cementless THRs where the components are well-fixed postoperatively and when the infection is secondary to haematogenous spread in previously well-functioning and well-fixed implants. For chronic PJIs where the components are often loose, the standard treatment includes a two-stage revision procedure. However, in a highly selected subset of patients, a single-stage approach has been utilised with high rates of eradicating infections.

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