Baertl, Susanne and Renz, Nora and Alt, Volker and Perka, Carsten and Kirschbaum, Stephanie (2024) Acute postoperative infections after dual head arthroplasty in geriatric patients. UNFALLCHIRURGIE, 127 (2). pp. 110-116. ISSN 2731-7021, 2731-703X
Full text not available from this repository. (Request a copy)Abstract
Acute periprosthetic joint infections (PJI) after dual head arthroplasty represent a major challenge with a 1-year mortality rate up to 50% in the mostly multimorbid geriatric patient collective. Due to the limited possibilities of preoperative patient optimization, infection rates of up to 9% have been reported, which is significantly higher than in elective arthroplasty. A therapeutic gold standard has not yet been established due to the heterogeneous study situation and the lack of prospective randomized studies. The most promising therapeutic option currently appears to be a single-stage stem replacement in combination with implantation of a cup component (conversion to total hip arthroplasty, infection eradication in up to 100%). An approach of debridement, antibiotics, implant retention (DAIR) alone shows significantly poorer success rates (16-82%). Surgical treatment should always be followed by antibiotic treatment with a total duration of 12 weeks. In addition to the established perioperative antibiotic prophylaxis, the use of antibiotic-loaded bone cement seems to be superior to cementless stem fixation in preventing PJI in dual head arthroplasty.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | PERIPROSTHETIC JOINT INFECTION; SURGICAL SITE INFECTION; HIP HEMIARTHROPLASTY; RISK-FACTORS; CEMENT; FRACTURE; REVISION; DAIR; Debridement; Septic revision; Antibioctic therapy; Hemiarthroplasty hip |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Unfallchirurgie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 13 Jan 2026 10:13 |
| Last Modified: | 13 Jan 2026 10:13 |
| URI: | https://pred.uni-regensburg.de/id/eprint/64527 |
Actions (login required)
 |
View Item |
