Acute hematogenous infection following total hip and knee arthroplasty

Beau S. Konigsberg, Craig J.Della Valle, Nicholas T. Ting, Fang Qiu, Scott M. Sporer

Research output: Contribution to journalArticlepeer-review

60 Scopus citations


Forty consecutive patients (42 joints; 22 TKA, 20 THA) treated for acute hematogenous infections were reviewed. All patients underwent irrigation and debridement and exchange of the modular components. At a mean of 56. months (range, 25-124. months) recurrent infection, requiring surgery, developed in 9 of the 42 joints (21%); 8 of the 9 recurrent infections were in patients with a staphylococcal infection (P= 0.0004). Ten of the 40 patients (25%) died within 2 years of infection. Irrigation and debridement for the treatment of an acute hematogenous infection was successful in the majority of patients (76% survivorship at 2 years). Non-staphylococcal infections had a particularly low failure rate (96% survivorship at 2 years). The 2. year mortality rate among this subset of patients was strikingly high.

Original languageEnglish (US)
Pages (from-to)469-472
Number of pages4
JournalJournal of Arthroplasty
Issue number3
StatePublished - Mar 2014


  • Complication
  • Hip arthroplasty
  • Infection
  • Knee arthroplasty

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine


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