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Comparison of efficacy and complications between two types of staging arthroplasty in treating chronic septic hip arthritis: A retrospective clinical study

  • Authors:
    • Wenbo Li
    • Xinyu Fang
    • Chaofan Zhang
    • Yejun Xu
    • Zida Huang
    • Zibo Yu
    • Wenming Zhang
  • View Affiliations / Copyright

    Affiliations: Department of Orthopedic Surgery, The First Affiliated Hospital of Fujian Medical University, Fuzhou, Fujian 350005, P.R. China
    Copyright: © Li et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Pages: 4123-4131
    |
    Published online on: March 22, 2019
       https://doi.org/10.3892/etm.2019.7430
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Abstract

Septic hip arthritis is a rare but serious disease, which is often persistent, able to transform into a chronic infection, and difficult to cure. The present study aimed to compare the midterm outcomes between the staging of a total hip arthroplasty via the Girdlestone surgery (a resection of the head and neck) and the Girdlestone combined with a cement spacer in treating chronic septic hip arthritis, as well as to compare the postsurgery efficacy and complications between the two groups. A total of 13 patients (14 total hip joints) were enrolled and retrospectively analyzed. For the stage I surgery, four patients (five hips) underwent the resection of the head and neck, and nine patients (nine hips) underwent the resection of the head and neck combined with the implantation of a bone cement spacer. After the infection was fully controlled, the patients in both groups underwent cementless total hip arthroplasties as stage II surgeries. The mean follow‑up period was 24.2 months. The curative effects and complications of the patients were recorded and compared. It was found that the application of the staging arthroplasty for treating a chronic septic hip was conducive to the complete clearance of lesions. Notably, the implantation of a bone cement spacer containing antibiotics in the stage I surgery prevented joint contracture caused by a head and neck resection, reducing the risk of infection recurrence between the two stages of the operation. This effectively maintained the length of the lower limbs, simplified the stage II complete hip arthroplasty and reduced operative hemorrhage, thus achieving improved recovery of joint function after the stage II arthroplasty. The results suggested that the implantation of a cement spacer at the stage I surgery was more effective in treating chronic septic hip arthritis.
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Copy and paste a formatted citation
Spandidos Publications style
Li W, Fang X, Zhang C, Xu Y, Huang Z, Yu Z and Zhang W: Comparison of efficacy and complications between two types of staging arthroplasty in treating chronic septic hip arthritis: A retrospective clinical study. Exp Ther Med 17: 4123-4131, 2019.
APA
Li, W., Fang, X., Zhang, C., Xu, Y., Huang, Z., Yu, Z., & Zhang, W. (2019). Comparison of efficacy and complications between two types of staging arthroplasty in treating chronic septic hip arthritis: A retrospective clinical study. Experimental and Therapeutic Medicine, 17, 4123-4131. https://doi.org/10.3892/etm.2019.7430
MLA
Li, W., Fang, X., Zhang, C., Xu, Y., Huang, Z., Yu, Z., Zhang, W."Comparison of efficacy and complications between two types of staging arthroplasty in treating chronic septic hip arthritis: A retrospective clinical study". Experimental and Therapeutic Medicine 17.5 (2019): 4123-4131.
Chicago
Li, W., Fang, X., Zhang, C., Xu, Y., Huang, Z., Yu, Z., Zhang, W."Comparison of efficacy and complications between two types of staging arthroplasty in treating chronic septic hip arthritis: A retrospective clinical study". Experimental and Therapeutic Medicine 17, no. 5 (2019): 4123-4131. https://doi.org/10.3892/etm.2019.7430
Copy and paste a formatted citation
x
Spandidos Publications style
Li W, Fang X, Zhang C, Xu Y, Huang Z, Yu Z and Zhang W: Comparison of efficacy and complications between two types of staging arthroplasty in treating chronic septic hip arthritis: A retrospective clinical study. Exp Ther Med 17: 4123-4131, 2019.
APA
Li, W., Fang, X., Zhang, C., Xu, Y., Huang, Z., Yu, Z., & Zhang, W. (2019). Comparison of efficacy and complications between two types of staging arthroplasty in treating chronic septic hip arthritis: A retrospective clinical study. Experimental and Therapeutic Medicine, 17, 4123-4131. https://doi.org/10.3892/etm.2019.7430
MLA
Li, W., Fang, X., Zhang, C., Xu, Y., Huang, Z., Yu, Z., Zhang, W."Comparison of efficacy and complications between two types of staging arthroplasty in treating chronic septic hip arthritis: A retrospective clinical study". Experimental and Therapeutic Medicine 17.5 (2019): 4123-4131.
Chicago
Li, W., Fang, X., Zhang, C., Xu, Y., Huang, Z., Yu, Z., Zhang, W."Comparison of efficacy and complications between two types of staging arthroplasty in treating chronic septic hip arthritis: A retrospective clinical study". Experimental and Therapeutic Medicine 17, no. 5 (2019): 4123-4131. https://doi.org/10.3892/etm.2019.7430
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