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Journal of Bone and Joint Surgery, 1973;55:1242-1250.
© 1973 by The Journal of Bone and Joint Surgery, Inc

Bacterial Colonization of Wounds and Sepsis in Total Hip Arthroplasty

ROBERT H. FITZGERALD JR. M.D.1, LOWELL F. A. PETERSON M.D.1, JOHN A. WASHINGTON II M.D.1, ROBERT E. VAN SCOY M.D.1, and MARK B. COVENTRY M.D.1

1 From the Mayo Clinic and Mayo Foundation, Rochester

This is a study of 658 consecutive total hip arthroplasty procedures in which cultures were taken at surgery. Cultures were positive in 195: 111 occurred in 437 hips that had not been previously operated on and eighty-four in 221 hips that had undergone previous operation. To date, there have been fourteen infections: seven superficial, and seven deep. Preliminary data indicate that the presence of a positive culture in a hip previously operated on may be significant, even though a deep wound infection may later yield a different organism. Organisms belonging to the family Micrococcaceae appear to predominate in deep wound infections.


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