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suppressive antibiotics.
1%
12/997
open irrigation and debridement with polyethylene exchange.
4%
35/997
one-stage resection arthroplasty and reimplantation.
2%
24/997
two-stage resection arthroplasty and reimplantation.
91%
911/997
arthroscopic irrigation and debridement.
0%
3/997
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The treatment of choice for a late hematogenous infection is two-stage resection arthroplasty and reimplantation, with parenteral antibiotics prior to reimplantation. This is particularly true when septic loosening has occurred as in this patient. Open irrigation and debridement with polyethylene exchange has been used successfully when the duration of symptoms is 3 weeks or less. Long-term suppressive antibiotics are most commonly used when the patient’s medical condition precludes further surgery. Delayed reimplantation has been shown to be superior to immediate reimplantation in multiple studies. Little data support the use of arthroscopic irrigation and debridement.
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