Abstract
* Adult septic arthritis of the native hip can be difficult to diagnose; often, care is delayed >24 hours, which may result in a failure to preserve the joint.* Treatment options include aspiration, open and arthroscopic irrigation and debridement, and resection arthroplasty with an antibiotic spacer and subsequent total hip arthroplasty.* Risk factors for repeat irrigation and debridement include inflammatory arthritis, diabetes, synovial cell count of >85,000 cells/mL, and Staphylococcus aureus infection.* Ten percent of patients undergoing resection arthroplasty and use of an antibiotic spacer may need an exchange spacer.* Outcomes after use of an antibiotic spacer and staged total hip arthroplasty can be highly successful and rewarding.
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