Faculty Collaboration Database

Single-stage revision for fungal peri-prosthetic joint infection: a single-centre experience. Bone Joint J 2014 Apr;96-B(4):492-6

Date

04/03/2014

Pubmed ID

24692616

DOI

10.1302/0301-620X.96B4.32179

Scopus ID

2-s2.0-84898475933 (requires institutional sign-in at Scopus site)   59 Citations

Abstract

Fungal peri-prosthetic infections of the knee and hip are rare but likely to result in devastating complications. In this study we evaluated the results of their management using a single-stage exchange technique. Between 2001 and 2011, 14 patients (ten hips, four knees) were treated for a peri-prosthetic fungal infection. One patient was excluded because revision surgery was not possible owing to a large acetabular defect. One patient developed a further infection two months post-operatively and was excluded from the analysis. Two patients died of unrelated causes. After a mean of seven years (3 to 11) a total of ten patients were available for follow-up. One patient, undergoing revision replacement of the hip, had a post-operative dislocation. Another patient, undergoing revision replacement of the knee, developed a wound infection and required revision 29 months post-operatively following a peri-prosthetic femoral fracture. The mean Harris hip score increased to 74 points (63 to 84; p < 0.02) in those undergoing revision replacement of the hip, and the mean Hospital for Special Surgery knee score increased to 75 points (70 to 80; p < 0.01) in those undergoing revision replacement of the knee. A single-stage revision following fungal peri-prosthetic infection is feasible, with an acceptable rate of a satisfactory outcome.

Author List

Klatte TO, Kendoff D, Kamath AF, Jonen V, Rueger JM, Frommelt L, Gebauer M, Gehrke T

MESH terms used to index this publication - Major topics in bold

Adult
Aged
Aged, 80 and over
Arthroplasty, Replacement, Hip
Arthroplasty, Replacement, Knee
Bacterial Infections
Comorbidity
Feasibility Studies
Female
Hip Prosthesis
Humans
Knee Prosthesis
Male
Middle Aged
Mycoses
Prosthesis-Related Infections
Recurrence
Reoperation
Retrospective Studies