10.3205/DGKH000174
Ellenrieder, Martin
Martin
Ellenrieder
Lenz, Robert
Robert
Lenz
Haenle, Maximilian
Maximilian
Haenle
Bader, Rainer
Rainer
Bader
Mittelmeier, Wolfram
Wolfram
Mittelmeier
Two-stage revision of implant-associated infections after total hip and knee arthroplasty
German Medical Science GMS Publishing House
2011
JournalArticle
total hip and knee arthroplasty
implant-associated infection
treatment protocol
spacer
610 Medical sciences; Medicine
2011-12-15
2011
en
urn:nbn:de:0183-dgkh0001749
dgkh000174
text/html
GMS Krankenhaushygiene Interdisziplinär; 6(1):Doc17; ISSN 1863-5245
Septic loosening of total hip and knee endoprostheses gains an increasing proportion of revision arthroplasties. Operative revisions of infected endoprostheses are mentally and physically wearing for the patient, challenging for the surgeon and a significant economic burden for healthcare systems. In cases of early infection within the first three weeks after implantation a one-stage revision with leaving the implant in place is widely accepted. The recommendations for the management of late infections vary by far. One-stage revisions as well as two-stage or multiple revision schedules have been reported to be successful in over 90% of all cases for certain patient collectives. But implant associated infection still remains a severe complication. Moreover, the management of late endoprosthetic infection requires specific logistics, sufficient and standardized treatment protocol, qualified manpower as well as an efficient quality management. With regard to the literature and experience of specialized orthopaedic surgeons from several university and regional hospitals we modified a commonly used treatment protocol for two-stage revision of infected total hip and knee endoprostheses. In addition to the achievement of maximum survival rate of the revision implants an optimisation of the functional outcome of the affected artificial joint is aimed for.
GMS Krankenhaushygiene Interdisziplinär; 6(1):Doc17; ISSN 1863-5245