Infectious complications of hip arthroplasty: causes and results of treatment

https://doi.org/10.29332/ijhs.v5n3.1520

Authors

  • Vitalii M. Pidhaietskyi Department of Traumatology and Orthopaedics of Adults, Institute of Traumatology and Orthopedics of the National Academy of Medical Sciences of Ukraine, Kyiv, Ukraine
  • Georgii V. Gayko Department of Traumatology and Orthopaedics of Adults, Institute of Traumatology and Orthopedics of the National Academy of Medical Sciences of Ukraine, Kyiv, Ukraine
  • Roman A. Kozak Department of Traumatology and Orthopaedics of Adults, Institute of Traumatology and Orthopedics of the National Academy of Medical Sciences of Ukraine, Kyiv, Ukraine
  • Taras V. Nizalov Department of Traumatology and Orthopaedics of Adults, Institute of Traumatology and Orthopedics of the National Academy of Medical Sciences of Ukraine, Kyiv, Ukraine

Keywords:

diagnostic criteria, instability of components, periprosthetic infection, revision prosthetics, surgical practice

Abstract

The objective of the research is to study the causes and outcomes of infectious complications after total hip arthroplasty. The background of the research is the analysis of outcomes of 364 patients with complications after total hip arthroplasty; 369 cases, from 2005 to 2018. The infectious complications accounted for 21.7% (80 cases). The work involves clinical, radiological, microbiological, and statistical research methods. As a result of research causes of suppurative complications after total hip arthroplasty were: chronic infectious diseases of internal organs (t=3.37, p=0.001), instability of prosthetic components (t=3.14, p=0.002), over two previous surgical interventions involving the affected joint (t=2.43, p=0.005). In the treatment of periprosthetic infections, sanitizing interventions without the prosthetic components’ removal appeared efficient within only up to 3 weeks. If the sanitizing interventions were inconclusive, the double-stage revision prosthetics appeared adequate in a reliable number of cases (t = 11.2, p = 0.0028), namely 24, which amounted to 92.3%. In conclusion, it was concluded that the causes of periprosthetic infections were: diseases of the internal organs, instability of the components, over two surgical operations involving the same joint. The development of various complications after total hip replacements demands surgical revision procedures.

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Published

2021-09-09

How to Cite

Pidhaietskyi, V. M., Gayko, G. V., Kozak, R. A., & Nizalov, T. V. (2021). Infectious complications of hip arthroplasty: causes and results of treatment. International Journal of Health Sciences, 5(3), 313-320. https://doi.org/10.29332/ijhs.v5n3.1520

Issue

Section

Peer Review Articles