Prosthetic Joint Infection Following Total Hip Arthroplasty—Effect of Choice of Bearing Surfaces and How to Investigate Further—A Review of the Literature
Introduction: Total
Hip Arthroplasty (THA) has proved to improve a patient’s quality of life. This procedure has become more
refined overtime, and
subsequently
there is huge variation in its execution. Prosthetic Joint Infection (PJI)
remains a disastrous complication following this procedure. Main body: This
article reviews the literature surrounding the various bearing surface options
and fixation
methods associated with the development of PJI. The current literature is
reviewed to best describe how to investigate PJI following THA. Discussion: There
is evidence supporting that no particular combination of articulating surfaces
increases the risk of developing PJI. Cement,
impregnated with antibiotics, has been proven to have a lower PJI rate over
uncemented prostheses. Conclusion: Further research is required to best determine the optimum choice of bearing surfaces and fixation methods. If PJI
is diagnosed, the cornerstone to its management is through a Multi-Disciplinary
Team (MDT) approach.
Cite this paper
Saad, A. and Shahban, S. A. (2018). Prosthetic Joint Infection Following Total Hip Arthroplasty—Effect of Choice of Bearing Surfaces and How to Investigate Further—A Review of the Literature. Open Access Library Journal, 5, e4663. doi: http://dx.doi.org/10.4236/oalib.1104663.
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