Culture-negative Peri-prosthetic Joint Infection after Total Hip Arthroplasty. Treatment Protocol and Outcomes in Acute and Chronic Cases

نویسندگان
Pesciallo, Cesar Angel ID 1
Martinez, Jorge ID 2
Del Sel, Hernán ID 3
Garabano, Germán ID 4
Gessara, Alan Maximiliano ID 5

1 Department of Orthopaedic and Traumatology, Hospital Británico de Buenos Aires, Buenos Aires, Argentina

2 Department of Infectology, Hospital Británico de Buenos Aires, Buenos Aires, Argentina

3 Department of Orthopaedic and Traumatology, Hospital Británico de Buenos Aires, Buenos Aires, Argentina

4 Department of Orthopaedic and Traumatology, Hospital Británico de Buenos Aires, Buenos Aires, Argentina

5 Department of Orthopaedic and Traumatology, Hospital Británico de Buenos Aires, Buenos Aires, Argentina

doi
10.22038/abjs.2022.51813.2559
چکیده

The treatment of culture-negative periprosthetic joint infections (CN PJI) of the hip represents complex entities. We, as a result of this, report on 12 cases. Irrigation and debridement (I&D) with implant retention were performed in acute cases and two-stage revisions in chronic infections. Combined antibiotic therapy was administered in all cases for 12 weeks. Infection control was achieved in all patients with an infection-free rate of 100% at 7.5 years of average follow-up.Level of evidence: IV

کلیدواژه‌ها
culture-negative (CN), irrigation and debridement, peri-prosthetic joint infection (PJI), total hip arthroplasty (THA), two-stage revision