In general, removing the implant leads to a higher chance of curing the infection, but is associated with a longer recovery. When the infection has been cleared, your doctor will perform a second surgery to remove the antibiotic spacer and insert a new prosthesis. During this time, you will also receive intravenous antibiotics.Īn antibiotic spacer placed in the hip joint during the first stage of treatment for joint replacement infection. This spacer is treated with antibiotics to help fight the infection and will remain in your hip for several weeks. In the first surgery, your doctor will remove the implants and place a temporary cement spacer in your hip. If the implants are removed to treat the infection, your doctor will usually perform the revision in two separate surgeries. In some cases, the implants must be completely removed. After debridement, you will receive intravenous antibiotics for several weeks to help cure the infection. The metal implants that are firmly attached to the bone are left in place. In this procedure, your doctor will open up your hip, wash out the bacteria, and exchange the ball and plastic liner. Your preference for a specific treatmentĭebridement.The duration and severity of the infection.To determine which procedure is best for you, your doctor will consider a number of factors, including: Revision surgery for infection can be done in different ways. Because bacteria cannot be easily eliminated from a joint replacement with antibiotics alone, revision surgery is usually necessary. Even if the implant remains properly fixed to the bone, there may still be pain, instability, and drainage from the infection. If a total hip replacement becomes infected, it can be painful and the implant may begin to lose its attachment to the bone. Infection may occur while you are in the hospital or after you go home. Infection occurs when bacteria attach in and around the surface of the prosthesis. Infection is a potential complication of any surgical procedure, including total hip replacement. As a result, the femoral head (ball) is no longer centered in the cup. The acetabular cup on the left (arrow) has loosened from the underlying bone.
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