Abstract

Hip replacement is widespread surgical procedure in orthopedic surgery. Nether the less, the main and most costly problems in replacement of large joints with socially significant losses are infectious complications. The aim of this review is to analyze available data dedicated to infectious complications in orthopedy and to extract basic principles of diagnostics and treatment of the hip joint implant infection. It could be stated that early diagnostics and precise identification of causative agent, including evaluation of the microbiological, clinical, diagnostic imaging, immunological, histological and biochemical parameters, and also an adequate to the collected diagnostic data choice of surgical tactics and antibiotic treatment are the important components of successful treatment of periprosthetic infection.

Highlights

  • Lachiewictz P.F., Rogers G.D., Thomason H.C. Aspiration of the joint before revision total hip arthroplasty: clinical and laboratory factors influencing attainment of a positive culture

  • The aim of this review is to analyze available data dedicated to infectious complications in orthopedy and to extract basic principles of diagnostics and treatment of the hip joint implant infection

  • It could be stated that early diagnostics and precise identification of causative agent, including evaluation of the microbiological, clinical, diagnostic imaging, immunological, histological and biochemical parameters, and an adequate to the collected diagnostic data choice of surgical tactics and antibiotic treatment are the important components of successful treatment of periprosthetic infection

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Summary

Introduction

Lachiewictz P.F., Rogers G.D., Thomason H.C. Aspiration of the joint before revision total hip arthroplasty: clinical and laboratory factors influencing attainment of a positive culture. Larsen L.H., Lange J., Xu Y., Schønheyder H.C. Optimizing culture methods for diagnosis of prosthetic joint infections: a summary of modifications and improvements reported травматология и ортопедия россии since 1995. Diagnosis of periprosthetic joint infection: the utility of a simple yet unappreciated enzyme. Parvizi J., Jacovides C., Zmistowski B., Jung K.A. Definition of periprosthetic joint infection: Is there a consensus?

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