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Native Adult Hip with Bacterial Septic Arthritis

Lum, Zachary C., DO1,a; Shieh, Alvin K., MD1; Meehan, John P., MD1

doi: 10.2106/JBJS.RVW.17.00211
Review Articles
Disclosures

  • * Adult septic arthritis of the native hip can be difficult to diagnose; often, care is delayed >24 hours, which may result in a failure to preserve the joint.
  • * Treatment options include aspiration, open and arthroscopic irrigation and debridement, and resection arthroplasty with an antibiotic spacer and subsequent total hip arthroplasty.
  • * Risk factors for repeat irrigation and debridement include inflammatory arthritis, diabetes, synovial cell count of >85,000 cells/mL, and Staphylococcus aureus infection.
  • * Ten percent of patients undergoing resection arthroplasty and use of an antibiotic spacer may need an exchange spacer.
  • * Outcomes after use of an antibiotic spacer and staged total hip arthroplasty can be highly successful and rewarding.

1Adult Reconstruction, Department of Orthopaedics, University of California-Davis Medical Center, Sacramento, California

aE-mail address for Z.C. Lum: zacharylum@gmail.com

Copyright © 2018 by The Journal of Bone and Joint Surgery, Incorporated
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