A Modified Transfemoral Approach at the Site of Septic Total Hip Arthroplasty Revisions

Author(s): Konstantinos Anagnostakos and Ismail Sahan

The surgical management of periprosthetic hip joint infections can be very demanding. 20 patients (22 joints) suffering from periprosthetic hip joint infections have been treated by means of a new transfemoral approach at the site of a two-stage procedure. There were eight female and 12 male patients at a mean age of 71.4 [54-86] years. Prosthesis reimplantation was performed in 17 patients (18 cases). At a mean follow-up of 43 [24-85] months 16/17 (94%) of the cases that underwent prosthesis reimplantation were free of any local or systemic infection signs. There was no case of a stem subsidence. All osteotomies showed a complete osseous consolidation three to six months after the first stage. The present technique has demonstrated very promising results at a high infection eradication rate.