Have the Infected Total Hip Arthroplasty Been Still Catastrophic?

The infection after total hip arthroplasty is one of the major and catastrophic complications and often cause multiple procedures, heavy cost and life threatens and disability for the patient. In this study, we report our experience about infected total hip arthroplasty. In this study, among patients referred to Kashani hospital in Isfahan, Iran from 2001 to 2007, 659 patients that have been treated with total hip arthroplasty were enrolled in our study. Among this patients, 12 patients were infected in which, six were early postoperative, three were late chronic and 3 patients were acute hematogenous. In all of the patients, the primary treatment and debridment and antibiotic therapy were done. Finally, in ten cases, the infection was subsided and in two others, the Girldeston surgery was done. It seems that infection after total hip arthroplasty is not the end of work and with appropriate treatment the most of this infection are been treated.