Clinical characteristics and long-term outcomes of septic arthritis of the native hip joint: a 20-year retrospective review.
Recommended Citation
Burdick GB, Maier LM, Kuhlmann NA, Ayoola AS, Fathima B, and Muh SJ. Clinical characteristics and long-term outcomes of septic arthritis of the native hip joint: a 20-year retrospective review. Hip Int 2023.
Document Type
Article
Publication Date
9-20-2023
Publication Title
Hip Int
Abstract
BACKGROUND: The primary purpose of this retrospective case series was to describe the prevalence and outcomes of single-stage hip arthroplasty in patients who were previously treated for septic arthritis of the native hip at our institution over a 20-year period. This study also examined rates of persistent or recurrent infection, reoperation, and mortality for septic arthritis of the native hip.
METHODS: Adult patients treated for septic arthritis of the native hip at our institution from 1995 to 2015 were retrospectively identified. Exclusion criteria included age <18 >years, missing or incomplete medical records, treatment at an outside institution, and prior surgery of the hip.
RESULTS: 97 patients were included in this study. 3 patients (3.1%) who were previously treated for septic arthritis of the native hip underwent single-stage hip arthroplasty an average of 40 ± 25 months from the date of infection. 3 of the 18 (16.7%) patients who were treated with resection arthroplasty underwent second-stage joint reconstruction. There were no cases of periprosthetic joint infection (PJI). 1 patient who underwent single-stage arthroplasty experienced implant-induced metallosis, necessitating removal of the implant. There were no other cases of revision arthroplasty.
CONCLUSIONS: The prevalence of single-stage hip arthroplasty in patients with a history of septic arthritis of the native hip joint was 3.1%, which is higher than the prevalence of hip arthroplasty in the United States general population, suggesting that a history of septic arthritis may increase the risk of requiring hip arthroplasty. In the small number of patients who went on to receive a hip replacement, there were no reported cases of PJI. This study suggests that hip arthroplasty is a viable option for patients with symptomatic osteoarthritis and a history of septic arthritis of their hip.
PubMed ID
37728010
ePublication
ePub ahead of print
First Page
11207000231200175
Last Page
11207000231200175
