Infected total hip arthroplasty

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Treatment of an infected total hip prosthesis can be a complex and lengthy endeavor for the joint arthroplasty surgeon. Initially the surgeon's objective is to identify and eradicate the infection by the debridement of all prosthetic materials, all nonviable soft tissues and any poorly vascularized structures including bone. The removal of all cement and metal is essential, as an increased rate of recurrent infection has been correlated with failure to remove those materials. The purpose of this article is to describe the surgical treatment including component removal and reimplantation techniques necessary to obtain the ultimate desired outcome of a functional, sterile hip prosthesis.

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