Spinal fusion and total hip arthroplasty: why timing is important.

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Abstract

[Indexed for MEDLINE] Conflict of interest statement: Declaration of conflicting interestsThe authors declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: RED: receives research support from: Biocomposites, Inc., CyMedica Orthopedics, DePuy Synthes Product, Inc., Flexion Therapeutics, Microport Orthopedics, Inc., Orthofix, Inc., Patient-Centered Outcomes Research Institute (PCORI), Smith & Nephew, Stryker, Tissue Gene, United Orthopedic Corporation.All other authors declare that there is no conflict of interest. 16. Orthop Clin North Am. 2016 Jan;47(1):11-8. doi: 10.1016/j.ocl.2015.08.004. One-Stage Revision for Infected Total Hip Arthroplasty. Zahar A(1), Gehrke TA(2). Author information: (1)HELIOS ENDO Klinik Hamburg, Holstenstrasse 2, Hamburg 22767, Germany. Electronic address: akos.zahar@helios-kliniken.de. (2)HELIOS ENDO Klinik Hamburg, Holstenstrasse 2, Hamburg 22767, Germany. Prosthetic joint infection (PJI) is a challenging complication following total hip arthroplasty (THA). Two-stage exchange arthroplasty is preferred for treating chronic PJI of THA, although specialized centers have reported comparable outcomes with protocol-based, 1-stage exchange arthroplasty. A main requirement is presurgical determination of the infecting organism's sensitivity. The therapeutic goal is control of the infection and maintenance of joint function. It offers advantages, including a single operative procedure, fewer antibiotics, and reduced hospitalization time and relative overall costs. Copyright © 2016 Elsevier Inc. All rights reserved. DOI: 10.1016/j.ocl.2015.08.004