Although it does offer certain obvious advantages, the one-staged revision
approach in infected THA remains rare in the field of orthopaedics. Besides the
reduced number of surgical interventions for patients, it is associated with a
decreased inpatient hospital stay and quicker mobilisation. Furthermore, it
might be the more cost-effective approach and enables a reduced duration of
post-operative systemic antibiotics, usually less than 14 days in our setting.
Technically speaking, the presence of a positive culture of a pre-operative
aspiration and respective antibiogram are mandatory requirements. A general
cemented implant fixation using topical antibiotics is the treatment of choice
for single-staged procedures. The key to surgical success is based on the
well-defined and detailed intra-hospital infrastructure, including a meticulous
pre-operative hip aspiration regime, pre-operative planning and an aggressive
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