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Instructional Course Lectures, The American Academy of Orthopaedic Surgeons - Diagnosis of Infection following Total Hip Arthroplasty*

M. J. SPANGEHL, M.D., F.R.C.S.(C), A. S. E. YOUNGER, M.B., M.SC., F.R.C.S.(C), B. A. MASRI, M.D., F.R.C.S.(C) and C. P. DUNCAN, M.B., M.SC., F.R.C.S.(C), VANCOUVER, BRITISH COLUMBIA, CANADA

An Instructional Course Lecture, The American Academy of Orthopaedic Surgeons

	Introduction

 
High rates of infection complicated the early experience with total hip arthroplasty and, although the rates have decreased substantially over the last few decades, infection still is a source of considerable morbidity. In the 1960s, Charnley reported a rate of infection of 9.5 per cent (nineteen infections after 199 total hip arthroplasties)⁵. More recently, authors have reported that infection causes failure after 1 per cent (seventy-one of 5081 and twenty-seven of 2084) to 2 per cent (ninety-four of 5500 and thirty-six of 1798) of primary total hip arthroplasties^{6,13,20,22,37,38,42,58,61}, and the rate is higher after revision procedures. Although these percentages are small, the large number of hip arthroplasties performed each year results in a major burden on the health-care system⁶². Infection following total hip arthroplasty is costly to treat because of the subsequent need for reoperation and the prolonged hospitalization often required to eradicate the infection. In the . . . [Full Text of this Article]

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