Acute metastatic infection of a revision total hip arthroplasty with oral bacteria after noninvasive dental treatment

2000 ◽  
Vol 15 (5) ◽  
pp. 675-678 ◽  
Author(s):  
T.Kenneth Kaar ◽  
Earl R. Bogoch ◽  
H.Roslyn Devlin

2014 ◽  
Vol 8 (1) ◽  
pp. 56-59 ◽  
Author(s):  
Motoki Sonohata ◽  
Masaru Kitajima ◽  
Syunsuke Kawano ◽  
Masaaki Mawatari

The risk of periprosthetic joint infection from hematogenous bacterial seeding is increased in patients undergoing dental procedures that facilitate the development of bacteremia. We herein report the case of a patient without a history of dental procedures who suffered from an acute metastatic infection of a hip prosthesis by the oral bacterium Streptococcus mutans 18 months after undergoing revision total hip arthroplasty. The patient was successfully treated by two-stage revision surgery. It is important to realize that the efficacy of antibiotic prophylaxis against joint infections has not yet been convincingly proven. As a result, optimal dental hygiene and regular dental visits may be more important than antibiotic prophylaxis for maintaining joint health. Therefore, orthopedic surgeons should educate patients with joint prostheses about good oral health.



2021 ◽  
pp. 112070002110043
Author(s):  
Antonios A Koutalos ◽  
Sokratis Varitimidis ◽  
Konstantinos N Malizos ◽  
Theofilos Karachalios

Purpose: The aim of the study was to systematically evaluate clinical outcomes of tapered fluted stems, either monoblock or modular, in revision total hip arthroplasty. Methods: PubMed, EMBASE and Web of Science and Cochrane databases were systematically searched by 2 researchers. Clinical studies reporting primarily on survival and re-revision rates, and secondarily on subsidence, dislocation, intraoperative fractures, periprosthetic fractures and infection were included. 2 investigators assessed the quality of the studies. Results: 46 studies were included in this review, reporting on 4601 stem revisions. The pooled re-revision rate was 5.1% and long-term survival ranged from 75% to 98.5%. No differences were observed between monoblock and modular stems regarding re-revision rate, dislocation rate, periprosthetic fracture rate or infection rates. Monoblock stems exhibited more subsidence and modular stems displayed more intraoperative fractures. Conclusions: Satisfactory results can be obtained with the use of tapered fluted end-bearing stems. Monoblock stems offer the same clinical results as modular stems.



2008 ◽  
Vol 90 (4) ◽  
pp. 881-884 ◽  
Author(s):  
Lindsey S. Hagstrom ◽  
Dennis J. Callahan ◽  
James W. Green




2012 ◽  
Vol 14 (1) ◽  
pp. 39-49 ◽  
Author(s):  
Eduardo García-Rey ◽  
Ricardo Fernández-Fernández ◽  
David Durán ◽  
Rosario Madero


2009 ◽  
Vol 24 (2) ◽  
pp. e19
Author(s):  
Kevin J. Bozic ◽  
Steven M. Kurtz ◽  
Edmund Lau ◽  
Kevin Ong ◽  
Thomas P. Vail ◽  
...  


2015 ◽  
Vol 39 (10) ◽  
pp. 2023-2030 ◽  
Author(s):  
Yuanqing Mao ◽  
Chen Xu ◽  
Jiawei Xu ◽  
Huiwu Li ◽  
Fengxiang Liu ◽  
...  


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