Comparison of Surgical Procedures in the Treatment of Hip Periprosthetic Infection

Abstract Objective The present study aimed to compare the cure rate recovery time and Merle d'Aubigné-Postel functional (MAPF) score after single-stage surgery (C1T) or two-stage surgery (C2T) to treat prosthetic infections of the hip considering sociodemographic and clinical features of the pa...

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Main Authors: Ricardo Tomé Branco, Eurico Bandeira Rodrigues
Format: Article
Language:English
Published: Sociedade Brasileira de Ortopedia e Traumatologia 2023-12-01
Series:Revista Brasileira de Ortopedia
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162023000500781&lng=en&tlng=en
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author Ricardo Tomé Branco
Eurico Bandeira Rodrigues
author_facet Ricardo Tomé Branco
Eurico Bandeira Rodrigues
author_sort Ricardo Tomé Branco
collection DOAJ
description Abstract Objective The present study aimed to compare the cure rate recovery time and Merle d'Aubigné-Postel functional (MAPF) score after single-stage surgery (C1T) or two-stage surgery (C2T) to treat prosthetic infections of the hip considering sociodemographic and clinical features of the patients. Materials and Methods The present retrospective study occurred in a single center from 2011 to 2014 with 37 studied cases including 26 treated with C1T and 11 with C2T. We compared the cure rate recovery time and MAPF score in the two groups as well as the sociodemographic and clinical features of the patients. We also considered surgical complications and the most common infectious agents. Results The C1T group had a faster functional recovery than the C2T group but there were no significant differences in the cure rate surgical complications or MAPF score. However C1T group patients were significantly younger which may have influenced the outcomes. Staphylococcus spp. was the most common infectious agent (62%). Conclusion Although C2T appears superior regarding infection cure C1T may be preferable for faster functional recovery. However it is critical to consider individual patient characteristics when choosing treatment. Further research with a larger sample size is required to confirm these results.
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spelling doaj.art-c90cc5e15c1d4e8ab76b5b97cfdcbf022024-02-03T11:40:01ZengSociedade Brasileira de Ortopedia e TraumatologiaRevista Brasileira de Ortopedia1982-43782023-12-0158578178910.1055/s-0043-1776132Comparison of Surgical Procedures in the Treatment of Hip Periprosthetic InfectionRicardo Tomé Brancohttps://orcid.org/0000-0003-4936-1774Eurico Bandeira Rodrigueshttps://orcid.org/0009-0008-5353-8679Abstract Objective The present study aimed to compare the cure rate recovery time and Merle d'Aubigné-Postel functional (MAPF) score after single-stage surgery (C1T) or two-stage surgery (C2T) to treat prosthetic infections of the hip considering sociodemographic and clinical features of the patients. Materials and Methods The present retrospective study occurred in a single center from 2011 to 2014 with 37 studied cases including 26 treated with C1T and 11 with C2T. We compared the cure rate recovery time and MAPF score in the two groups as well as the sociodemographic and clinical features of the patients. We also considered surgical complications and the most common infectious agents. Results The C1T group had a faster functional recovery than the C2T group but there were no significant differences in the cure rate surgical complications or MAPF score. However C1T group patients were significantly younger which may have influenced the outcomes. Staphylococcus spp. was the most common infectious agent (62%). Conclusion Although C2T appears superior regarding infection cure C1T may be preferable for faster functional recovery. However it is critical to consider individual patient characteristics when choosing treatment. Further research with a larger sample size is required to confirm these results.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162023000500781&lng=en&tlng=enarthroplasty, replacement, hipprosthesis-related infectionship prosthesisrecovery of functionreoperation
spellingShingle Ricardo Tomé Branco
Eurico Bandeira Rodrigues
Comparison of Surgical Procedures in the Treatment of Hip Periprosthetic Infection
Revista Brasileira de Ortopedia
arthroplasty, replacement, hip
prosthesis-related infections
hip prosthesis
recovery of function
reoperation
title Comparison of Surgical Procedures in the Treatment of Hip Periprosthetic Infection
title_full Comparison of Surgical Procedures in the Treatment of Hip Periprosthetic Infection
title_fullStr Comparison of Surgical Procedures in the Treatment of Hip Periprosthetic Infection
title_full_unstemmed Comparison of Surgical Procedures in the Treatment of Hip Periprosthetic Infection
title_short Comparison of Surgical Procedures in the Treatment of Hip Periprosthetic Infection
title_sort comparison of surgical procedures in the treatment of hip periprosthetic infection
topic arthroplasty, replacement, hip
prosthesis-related infections
hip prosthesis
recovery of function
reoperation
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162023000500781&lng=en&tlng=en
work_keys_str_mv AT ricardotomebranco comparisonofsurgicalproceduresinthetreatmentofhipperiprostheticinfection
AT euricobandeirarodrigues comparisonofsurgicalproceduresinthetreatmentofhipperiprostheticinfection