Some colleagues are trying to save the well fixed THR perofrming more than one debridement and intravenous antibiotics. Others are sceptic in regard of this tactics an a long-term basis.
Dear Panayot
In early deep infection of THR well fixed I perform lavage-drainage, send material for culture and sensitivity and intravenous antibiotics according commission of nosocomial infection. Usually three debridement are sufficient and when healing does not happen I put a spacer
Dear Dr Panayot, Yes that would be ideal. I would try and retain the prosthesis in acute early infections. I would wash out with a low threshold and keep IV antibiotics for at least three weeks. I wonder however if there is a role for poly exchange in uncemented hips like they do in a TKA.
Murali
Do you mean the polyethylene inlay exchange ? If this is the case, I do not believe its exchange has a positive effect on the infection healing. We do not practice it for THR.
- Badges
- Science topic