Diagnosis and surgical treatment of chronic destructive septic hip arthritis
Abstract Septic hip arthritis (SHA) is a relatively rare but hazardous disease. Much controversy exists regarding the definition, diagnosis and treatment of chronic destructive SHAs. This review aims to provide an overview of the diagnostic and therapeutic approaches for chronic, destructive SHA and...
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| Format: | Article |
| Language: | English |
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BMC
2025-04-01
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| Series: | Arthroplasty |
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| Online Access: | https://doi.org/10.1186/s42836-025-00305-2 |
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| author | Zhishuo Zhang Zida Huang Xinyu Fang Guochang Bai Wenbo Li Wenming Zhang Chaofan Zhang |
| author_facet | Zhishuo Zhang Zida Huang Xinyu Fang Guochang Bai Wenbo Li Wenming Zhang Chaofan Zhang |
| author_sort | Zhishuo Zhang |
| collection | DOAJ |
| description | Abstract Septic hip arthritis (SHA) is a relatively rare but hazardous disease. Much controversy exists regarding the definition, diagnosis and treatment of chronic destructive SHAs. This review aims to provide an overview of the diagnostic and therapeutic approaches for chronic, destructive SHA and suggest possible research directions for this disease’s future diagnosis and treatment. There is no unified naming or classification standard for SHAs. Chronic destructive SHA still requires a comprehensive diagnosis combining history, signs, bacterial culture, histopathological examination, inflammation and other indicators, of which metagenomic next-generation sequencing is a promising diagnostic tool. Previous treatment options for this disease include debridement, debridement + Girdlestone femoral head and neck resection, and debridement + Girdlestone femoral head and neck resection + two-stage arthroplasty. Among them, one-stage spacer implantation + two-stage arthroplasty is the current standard surgical option with a high success rate and low reinfection rate, while one-stage arthroplasty is a new treatment option proposed in recent years with unique advantages but limitations in terms of surgical indications. In the future, more high-quality studies are needed to provide the latest evidence to support clinical decision-making. |
| format | Article |
| id | doaj-art-6260839d85724445863bea30e5eff3ff |
| institution | DOAJ |
| issn | 2524-7948 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | BMC |
| record_format | Article |
| series | Arthroplasty |
| spelling | doaj-art-6260839d85724445863bea30e5eff3ff2025-08-20T03:10:05ZengBMCArthroplasty2524-79482025-04-017111110.1186/s42836-025-00305-2Diagnosis and surgical treatment of chronic destructive septic hip arthritisZhishuo Zhang0Zida Huang1Xinyu Fang2Guochang Bai3Wenbo Li4Wenming Zhang5Chaofan Zhang6Department of Orthopaedic Surgery, the First Affiliated Hospital, Fujian Medical UniversityDepartment of Orthopaedic Surgery, the First Affiliated Hospital, Fujian Medical UniversityDepartment of Orthopaedic Surgery, the First Affiliated Hospital, Fujian Medical UniversityDepartment of Orthopaedic Surgery, the First Affiliated Hospital, Fujian Medical UniversityDepartment of Orthopaedic Surgery, the First Affiliated Hospital, Fujian Medical UniversityDepartment of Orthopaedic Surgery, the First Affiliated Hospital, Fujian Medical UniversityDepartment of Orthopaedic Surgery, the First Affiliated Hospital, Fujian Medical UniversityAbstract Septic hip arthritis (SHA) is a relatively rare but hazardous disease. Much controversy exists regarding the definition, diagnosis and treatment of chronic destructive SHAs. This review aims to provide an overview of the diagnostic and therapeutic approaches for chronic, destructive SHA and suggest possible research directions for this disease’s future diagnosis and treatment. There is no unified naming or classification standard for SHAs. Chronic destructive SHA still requires a comprehensive diagnosis combining history, signs, bacterial culture, histopathological examination, inflammation and other indicators, of which metagenomic next-generation sequencing is a promising diagnostic tool. Previous treatment options for this disease include debridement, debridement + Girdlestone femoral head and neck resection, and debridement + Girdlestone femoral head and neck resection + two-stage arthroplasty. Among them, one-stage spacer implantation + two-stage arthroplasty is the current standard surgical option with a high success rate and low reinfection rate, while one-stage arthroplasty is a new treatment option proposed in recent years with unique advantages but limitations in terms of surgical indications. In the future, more high-quality studies are needed to provide the latest evidence to support clinical decision-making.https://doi.org/10.1186/s42836-025-00305-2Septic hip arthritisDiagnosisOne-stage arthroplastyTwo-stage arthroplasty |
| spellingShingle | Zhishuo Zhang Zida Huang Xinyu Fang Guochang Bai Wenbo Li Wenming Zhang Chaofan Zhang Diagnosis and surgical treatment of chronic destructive septic hip arthritis Arthroplasty Septic hip arthritis Diagnosis One-stage arthroplasty Two-stage arthroplasty |
| title | Diagnosis and surgical treatment of chronic destructive septic hip arthritis |
| title_full | Diagnosis and surgical treatment of chronic destructive septic hip arthritis |
| title_fullStr | Diagnosis and surgical treatment of chronic destructive septic hip arthritis |
| title_full_unstemmed | Diagnosis and surgical treatment of chronic destructive septic hip arthritis |
| title_short | Diagnosis and surgical treatment of chronic destructive septic hip arthritis |
| title_sort | diagnosis and surgical treatment of chronic destructive septic hip arthritis |
| topic | Septic hip arthritis Diagnosis One-stage arthroplasty Two-stage arthroplasty |
| url | https://doi.org/10.1186/s42836-025-00305-2 |
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