Treatment of infection after hipand knee arthroplasty

Analysis of clinical and X-ray data as well as treatment experience of 128 patients with infection followed by hip(110) and knee (18) arthroplasty was performed. Two types of complications that determined treatment management were distinguished: 1) infection in stable prosthesis; 2) infection in loosening of implants. In the first type revision of periprosthetic region with radical debridement, antibiotic therapy and drainage during 2-3 weeks was carried out. In the second type the hipimplant was removed and early rehabilitation was started to developneoarthrosis. In knee implant loosening compression arthrodesis was performed followed by implant removal. When proximal femur osteomyelitis was detected during revision due to stable implant the scheme of treatment as in case of implant loosening was preferred because of extremely high risk of instability and recurrence of infection.