Revision for PJI after total hip replacement: more exploration is needed – Authors' reply

Osteotomy for Revision Total Hip Replacement

Discussion. We previously reported bone and fat levels some I 2 times higher than those after systemic injection (Hoddinott et al 1990) and have now extended our sampling to provide a pharmacokinetic profile over the important 24 hours after operation (Fig. 1). The results indicate that the regional intravenous administration of a single 750 mg dose of cefuroxime gave satisfactory haematoma lev...

The role of trochanteric wire revision after total hip replacement.

Fifty-nine cases of trochanteric wire revision following hip arthroplasty with trochanteric osteotomy and reattachment were identified and their outcome was studied. Two were infected and were excluded. Five were revised for instability: four became stable while one continued to have persistent dislocation. Fifty-two were revised for pain, 36 by removal of the trochanteric wire and 16 by reatta...

Thromboprophylaxis after total hip replacement

The risk of secondary haematologic complications such as deep vein thrombosis or pulmonary embolism increases significantly when a transient period of hypercoagulability is induced after total hip replacement (THR). A number of drug-based anticoagulant approaches are available to modulate this risk, but the optimal length of therapy for such approaches remains unclear. The literature was review...

Revision surgery is overestimated in hip replacement

OBJECTIVES The Kaplan-Meier estimation is widely used in orthopedics to calculate the probability of revision surgery. Using data from a long-term follow-up study, we aimed to assess the amount of bias introduced by the Kaplan-Meier estimator in a competing risk setting. METHODS We describe both the Kaplan-Meier estimator and the competing risk model, and explain why the competing risk model ...

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