Exact(4)
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The proportion of these patients with infection recurrence after the first step of the two-stage procedure was higher than those with prior revision arthroplasty.
There were no prior revision procedures in the remaining 38 patients.
Both groups (patients with AL and PJI) had similar age, gender, comorbidities (mostly Diabetes), underlying joint disorders (mainly Ostheoarthrosis and Osteoporosis), prior revision arthroplasty, time between last implantation and removal of implant and length of surgery.
Similar(56)
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Younger age and prior hip revision surgery are risk factors for further revision surgery.
There was no significant difference in the lifespan of the implant prior to revision between aseptic loosening (14 years) and control revision (10.3 years) groups (p = 0.054) (Table 1).
In 33 hips, no PT was seen in the pre-revision imaging and in two hips no imaging was done prior to revision.
Another patient with a history of 11 surgeries prior to revision underwent several operations because of congenital hip dysplasia, followed by surgical lavage and a two-stage revision due to a joint infection of the primary THA, which was postoperatively complicated by persistent dislocation, leading to re-revision surgery.
The use of ring fixator with Ilizarov technique has been described for treatment of periprosthetic fractures and deformity correction prior to revision knee replacement.
All study participants were clinically and radiographically examined prior to revision surgery using the same protocol.
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