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Orthopaedic Proceedings
Vol. 104-B, Issue SUPP_10 | Pages 39 - 39
1 Oct 2022
Vargas-Reverón C Soriano A Fernandez-Valencia J Martinez-Pastor JC Morata L Muñoz-Mahamud E
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Aim

Our aim was to evaluate the prevalence and impact of unexpected intraoperative cultures on the outcome of total presumed aseptic knee and hip revision surgery.

Method

Data regarding patients prospectively recruited in our center, who had undergone elective complete hip and knee revision surgery from January 2003 to July 2017 with a preoperative diagnosis of aseptic loosening was retrospectively reviewed. Partial revisions and patients with follow up below 60 months were excluded from the study. The protocol of revision included at least 3 intraoperative cultures. Failure was defined as the need for re-revision due to any-cause at 5 years and/or the need for antibiotic suppressive therapy.


Orthopaedic Proceedings
Vol. 98-B, Issue SUPP_23 | Pages 28 - 28
1 Dec 2016
Muñoz-Mahamud E Torres FBG Morata L Combalia A Gallart X Climent C Tomas X Soriano A Bori G
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Aim

Septic arthritis of the hip is a rare entity among the adult population, but with a potential severe repercussion. The most accepted treatment is the hip debridement, even though a notorious proportion of the cases need further hip replacement owing to the cartilage destruction. The aim of this study is to analyse all our cases of septic arthritis of the hip treated with a 2-stage strategy using an antibiotic-loaded cement spacer.

Method

We present a retrospective review of all our cases of septic arthritis of the hip diagnosed between 2004 and 2016 that were treated with an antibiotic-loaded cement spacer. We analysed age, gender, comorbidities, aetiology, duration of symptoms, C-reactive protein values, erythrocyte sedimentation rate, initial treatment, cultures, definitive treatment and evolution.