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Instructional Course Lectures, The American Academy of Orthopaedic Surgeons - Diagnosis of Infection following Total Hip Arthroplasty*{{dagger}}

Instructional Course Lectures, The American Academy of Orthopaedic Surgeons - Diagnosis of... <h2>Introduction</h2> High rates of infection complicated the early experience with total hip arthroplasty and, although the rates have decreased substantially over the last few decades, infection still is a source of considerable morbidity. In the 1960s, Charnley reported a rate of infection of 9.5 per cent (nineteen infections after 199 total hip arthroplasties) 5 . More recently, authors have reported that infection causes failure after 1 per cent (seventy-one of 5081 and twenty-seven of 2084) to 2 per cent (ninety-four of 5500 and thirty-six of 1798) of primary total hip arthroplasties 6 , 13 , 20 , 22 , 37 , 38 , 42 , 58 , 61 , and the rate is higher after revision procedures. Although these percentages are small, the large number of hip arthroplasties performed each year results in a major burden on the health-care system 62 . Infection following total hip arthroplasty is costly to treat because of the subsequent need for reoperation and the prolonged hospitalization often required to eradicate the infection. In the United States, the cost per year to treat the 3500 to 4000 infections following total hip arthroplasty is between 150 and 200 million dollars 62 . Because of http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Bone and Joint Surgery Wolters Kluwer Health

Instructional Course Lectures, The American Academy of Orthopaedic Surgeons - Diagnosis of Infection following Total Hip Arthroplasty*{{dagger}}

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Publisher
Wolters Kluwer Health
Copyright
Copyright © 1997 by The Journal of Bone and Joint Surgery, Inc.
ISSN
0021-9355
Publisher site
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Abstract

<h2>Introduction</h2> High rates of infection complicated the early experience with total hip arthroplasty and, although the rates have decreased substantially over the last few decades, infection still is a source of considerable morbidity. In the 1960s, Charnley reported a rate of infection of 9.5 per cent (nineteen infections after 199 total hip arthroplasties) 5 . More recently, authors have reported that infection causes failure after 1 per cent (seventy-one of 5081 and twenty-seven of 2084) to 2 per cent (ninety-four of 5500 and thirty-six of 1798) of primary total hip arthroplasties 6 , 13 , 20 , 22 , 37 , 38 , 42 , 58 , 61 , and the rate is higher after revision procedures. Although these percentages are small, the large number of hip arthroplasties performed each year results in a major burden on the health-care system 62 . Infection following total hip arthroplasty is costly to treat because of the subsequent need for reoperation and the prolonged hospitalization often required to eradicate the infection. In the United States, the cost per year to treat the 3500 to 4000 infections following total hip arthroplasty is between 150 and 200 million dollars 62 . Because of

Journal

Journal of Bone and Joint SurgeryWolters Kluwer Health

Published: Oct 1, 1997

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