Primary Total Hip Arthroplasty After Infection by G. M. Robbins, B. A. Masri, D. S. Garbuz, and C. P. Duncan J Bone Joint Surg Am Volume 83(4):601-601

Primary Total Hip Arthroplasty After Infection

by G. M. Robbins, B. A. Masri, D. S. Garbuz, and C. P. Duncan

J Bone Joint Surg AmVolume 83(4):601-601

April 1, 2001

©2001 by The Journal of Bone and Joint Surgery, Inc.

The authors’ preferred algorithm for the late management of septic arthritis of the hip.

G. M. Robbins et al. J Bone Joint Surg Am 2001;83:601


The prosthesis of antibiotic-loaded acrylic cement (PROSTALAC) is a temporary functional spacer that may be used within the hip joint space after a resection arthroplasty that is

performed for the treatment of infection or at the site of a total hip arthrop...



This patient presented with acute onset of pain in the hip.



Fig. 3-B Because of the presence of active infection at the time of diagnosis, immediate hip replacement was contraindicated, and a staged approach was chosen.



Fig. 3-C Following a six-week course of intravenous antibiotics, the patient was observed for another six weeks to ensure that the infection was under control.



Fig. 4-A This fifty-eight-year-old patient, who was a known intravenous drug abuser, presented with septic arthritis of the hip.



Fig. 4-B Because of ongoing disability, the patient underwent a definitive hip replacement two years later.



This patient presented ten days following the onset of severe hip pain.



Fig. 5-B A hip replacement was performed in two stages.



Fig. 5-C Following a six-week course of intravenous antibiotics, the patient was observed for another six weeks to ensure that the infection was under control.



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Primary Total Hip Arthroplasty After Infection by G. M. Robbins, B. A. Masri, D. S. Garbuz, and C. P. Duncan J Bone Joint Surg Am Volume 83(4):601-601