Abstract
Twenty-three patients with intraoperative culture-proven periprosthetic infection of the hip or knee were enrolled in a prospective cement retrieval study. All were treated with a two-stage technique using antibiotic-loaded acrylic cement as an antibiotic depot. Staphylococcus epidermidis was the most commonly isolated organism (19 of 23 cases). Cement and tissue were examined at second-stage revision for the presence of viable organisms. In this series, no organisms were isolated from the surface of the cement, a 100% concordance with the tissue cultures. A subsequent failure rate of 4.4% (1 case) was seen in this series. Investigation suggests this may represent reinfection from a new strain of organism rather than failure of eradication of the original infection.
Original language | English (US) |
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Pages (from-to) | 817-822 |
Number of pages | 6 |
Journal | The Journal of arthroplasty |
Volume | 10 |
Issue number | 6 |
DOIs | |
State | Published - Dec 1995 |
Keywords
- antibiotic-loaded cement
- arthroplasty
- infection
- retrieval study
ASJC Scopus subject areas
- Orthopedics and Sports Medicine