Review of management prosthesis hip joint infection at the Caen University Hospital from 2006 to 2016 ; État des lieux de la prise en charge des prothèses de hanche infectées au CHU de Caen de 2006 à 2016

Introduction: prosthesis hip joint infection is a serious complication, the surgical strategy between one-stage revision and two-stage revision and indications for Debridement, antibiotics and implant retention (DAIR) is still debated. The aims of this study were to evaluate which methods produced superior outcomes Methods: a retrospective study was performed including 182 patients with a prosthesis hip joint infection who had undergone either one-stage revision, two- stage revision surgery or DAIR at a single stage between 2006 and 2016. The minimum follow-up was 24 months and a PMA score as well as a Harris Hip Score was achieved at the last follow-up. Results: the average follow-up was 52.4 months. The rate of infection control was 94% (53/56) in the one-stage group, 74,1% (46/62) in the two-stage group and 68,7% (44/64) in DAIR group (p = 0.001). In the DAIR group, the rate of infection control in acute surgical site infection was 79,6% (39/49) and was 29,4% (5/17) in acute hematogenous infection (p<0,001) The mean of PMA score and Harris Hip score was 13.5±4.17 and 69.0±21.5 for the one-stage group, 14.0±3.6 and 66.5±16.0 for the two-stage group and 14.6±3.4 and 74.4±17.7 for DAIR groups (p = 0.38 and p = 0.37). Conclusion: results of this study suggest that for prosthesis hip joint infections, one-stage revision is the surgical treatment giving the best cure rate with the same functional result as two-stage and DAIR. Level of evidence: Level 4. ; Introduction : l’infection sur PTH est une complication grave dont la prise en charge en 1 temps ou en 2 temps ainsi que les indications du lavage chirurgical restent encore débattus. L’objectif de notre étude est d’évaluer le taux de guérison en fonction du type de prise en charge et d’infection puis de réaliser une évaluation fonctionnelle de ces patients. Matériels et méthodes : cette étude rétrospective a inclus 182 patients avec une infection de prothèse de hanche prise en charge en 1 temps, en 2 temps ou par lavage chirurgical au CHU de Caen entre 2006 et ...