ArticleEuropean journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology2014
Are hip hemiarthroplasty and total hip arthroplasty infections different entities? The importance of hip fractures.
Article in European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- What are the risk factors for post-operative infection after hip hemiarthroplasty? Systematic review of literature.International orthopaedics · 2016Pooled it
- Periprosthetic joint infection after hemiarthroplasty for hip fracture is a distinct clinical entity associated with high mortality.Bone & joint open · 2025Article
- Increased rates of periprosthetic joint infection following hip hemiarthroplasty with clindamycin prophylaxis compared to cefazolin.Archives of orthopaedic and trauma surgery · 2025Article
- MappingMicroorganisms · 2024Article
- Article
- Poor outcome after debridement and implant retention for acute hematogenous periprosthetic joint infection: a cohort study of 43 patients.Acta orthopaedica · 2023Article
- Periprosthetic joint infection following hip hemiarthroplasty : factors associated with infection and treatment outcome.Bone & joint open · 2022Article
- [Relevance of empirical antibiotic treatment in the evolution of prosthetic joint infection treated with implant retention].Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2021Observational
- Partial Single Stage Exchange Arthroplasty With Retention of a Well Fixed Cemented Femoral Stem for the Treatment of Culture Negative Infection in a Bipolar Hemiarthroplasty: A Case Report.Geriatric orthopaedic surgery & rehabilitation · 2021Article
- Do Prosthetic Joint Infections Worsen the Functional Ambulatory Outcome of Patients with Joint Replacements? A Retrospective Matched Cohort Study.Antibiotics (Basel, Switzerland) · 2020Article
- Molecular characteristics of Staphylococcus aureus associated prosthetic joint infections after hip fractures treated with hemiarthroplasty: a retrospective genome-wide association study.Scientific reports · 2020Article
- Prosthesis retention after an infected hip prosthesis: hip fractures versus primary total hip prosthesis, data from 1998 - 2015.Journal of bone and joint infection · 2018Article
- Prosthetic joint infection-a devastating complication of hemiarthroplasty for hip fracture.Acta orthopaedica · 2017Article
- Usefulness of Urinoculture to Patients With Dementia and Femoral Neck Fracture at Admission to Hospital: Preliminary Results.Geriatric orthopaedic surgery & rehabilitation · 2017Article
- Do specialist hip unit surgeons have any significant influence on reducing rates of surgical site infection?International orthopaedics · 2015Article
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Authors and funding
17 authors.
Funding
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Abstract
Hip hemiarthroplasty (HHA) and total hip arthroplasty (THA) infections are usually considered as one entity; however, they may show important differences. We analyze these differences, as well as predictors of treatment failure (TF) and poor functional status among patients with prosthetic hip infections (PHIs). A multicenter cohort study of consecutive patients with PHIs was performed. The main outcome variable was TF after the first surgical treatment performed to treat the infection. Multivariate analysis was used to identify predictors of TF. A total of 127 patients with PHI were included (43 HHA, 84 THA). Patients with HHA infections were more frequently women (88% vs. 54%; p < 0.001), had comorbidities (86% vs. 67%, p = 0.02), and were older (median age 79 vs. 65 years, p < 0.001), and the reason for arthroplasty was more frequently a fracture (100% vs. 18%, p < 0.001). Failure of initial treatment and crude mortality were more frequent among HHA patients (44% vs. 23%, p = 0.01 and 28% vs. 7%, p = 0.001, respectively). However, HHA was not associated with TF in the multivariate analysis when hip fracture was considered; thus, variables independently associated with TF were hip fracture, inadequate surgical management, prosthesis retention, and higher C-reactive protein level. Failure of the first surgical treatment was associated with poorer functional status. HHA and THA infections showed significant differences in epidemiology, clinical features, and outcome. Although patients with HHA infections had a higher risk of TF, this was related to the reason for hip implant: a hip fracture. Success of the initial management of infection is a predictor of better clinical and functional outcome.
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