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Since 1975 we have treated 36 infected hip replacements by a two stage procedure in which the prosthesis and cement were first removed. Gentamicin impregnated beads were left at the sites of the prosthesis. Not less than 45 days later a fresh prosthesis was inserted into the hip. In two hips revision was not undertaken because of persistence of infection. The remaining 34 hips received a fresh prosthesis when the site was bacteriologically sterile. Gentamicin impregnated cement was used and antibiotics were given for a further three months. The functional results were satisfactory at an average of five years of follow up. Incomplete removal of methylmethacrylate was a factor in the persistence of infection and of pain in the absence of infection. The bacteriological efficacy of Gentamicin impregnated beads is uncertain, but their use gave a better functional result.
E Lenoble, and
D Goutallier
December 1978,
Helvetica chirurgica acta,
E Lenoble, and
D Goutallier
April 2003,
Revue de chirurgie orthopedique et reparatrice de l'appareil moteur,
E Lenoble, and
D Goutallier
October 1987,
Ugeskrift for laeger,
E Lenoble, and
D Goutallier
December 1971,
Nederlands tijdschrift voor geneeskunde,
E Lenoble, and
D Goutallier
February 1986,
Revue du rhumatisme et des maladies osteo-articulaires,
E Lenoble, and
D Goutallier
May 1977,
Southern medical journal,
E Lenoble, and
D Goutallier
January 1986,
Acta orthopaedica Belgica,
E Lenoble, and
D Goutallier
September 1973,
Clinical orthopaedics and related research,
E Lenoble, and
D Goutallier
February 1979,
Ugeskrift for laeger,
E Lenoble, and
D Goutallier
February 1990,
Ugeskrift for laeger,
