One-Stage Revision Surgery of the Infected Hip

Between 1977 and 1983, 24 one-stage revision surgeries were performed for septic failure of a total hip arthroplasty in 24 patients by one surgeon. Twelve patients died and none were lost to followup at a minimum of 10 years after the procedure. Infection reoccurred around two hips (8.3%). If the selected criteria (patients without draining sinuses, without immunocompromise, and with adequate bone quality after debridement) and the standard approach (meticulous debridement, use of antibiotic-impregnated cement, and use of 3 to 6 months postoperative oral antibiotic therapy) used in this study are implemented, direct exchange of an infected total hip arthroplasty construct is a reasonable and cost-effective alternative for some patients with infection after total hip arthroplasty.