Outcomes of Staphylococcal Prosthetic Joint Infection After Hip Hemiarthroplasty: Single Center Retrospective Study
<i>Background and Objectives</i>: When prosthetic joint infections, known for their high morbidity, are caused by high-virulence organisms such as <i>Staphylococcus</i>, the outcomes are even worse. This study aims to examine the outcomes of staphylococcal prosthetic joint in...
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MDPI AG
2025-03-01
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| author | Ahmed Nageeb Mahmoud Nicholas R. Brule Michael Suk Daniel Scott Horwitz |
| author_facet | Ahmed Nageeb Mahmoud Nicholas R. Brule Michael Suk Daniel Scott Horwitz |
| author_sort | Ahmed Nageeb Mahmoud |
| collection | DOAJ |
| description | <i>Background and Objectives</i>: When prosthetic joint infections, known for their high morbidity, are caused by high-virulence organisms such as <i>Staphylococcus</i>, the outcomes are even worse. This study aims to examine the outcomes of staphylococcal prosthetic joint infections after hemiarthroplasty for hip trauma patients, which has not been particularly reported. <i>Materials and Methods</i>: A retrospective study was performed in a level 1 trauma center to review all the cases of prosthetic joint infections in our database. Patients’ demographics, clinical inpatient, surgical, and outpatient notes, laboratory results, and serial radiographs were assessed to extract all relevant data. <i>Results</i>: Out of 2477 hip hemiarthroplasty cases reviewed, a total of 36 prosthetic joint infection cases caused by <i>Staphylococcus</i> species in 36 patients were included in this study. Patients were 26 females and 10 males with a mean age of 76.5 years at the time of surgery. Fifteen cases had infections with methicillin-resistant <i>Staphylococcus aureus</i> (MRSA) while twenty-one cases had infections with other <i>Staphylococcus</i> species. The mean follow-up for all cases is 43.5 months. Twenty-nine cases underwent at least a single trial for surgical debridement and implant retention surgery, and only nine (31%) had successful debridement and implant retention. The 3-month, 1-year, and 3-year cumulative mortality for all cases was 22.2, 30.5, and 41.7%, respectively. <i>Conclusions</i>: Staphylococcal hemiarthroplasty infection is a devastating complication that is associated with a low success (31%) of implant retention surgery, significantly high morbidity, and high cumulative mortality. |
| format | Article |
| id | doaj-art-da99df05859249ee8b926bd5da70adec |
| institution | DOAJ |
| issn | 1010-660X 1648-9144 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj-art-da99df05859249ee8b926bd5da70adec2025-08-20T03:13:55ZengMDPI AGMedicina1010-660X1648-91442025-03-0161460210.3390/medicina61040602Outcomes of Staphylococcal Prosthetic Joint Infection After Hip Hemiarthroplasty: Single Center Retrospective StudyAhmed Nageeb Mahmoud0Nicholas R. Brule1Michael Suk2Daniel Scott Horwitz3Geisinger Medical Center, Danville, PA 17821, USAGeisinger Medical Center, Danville, PA 17821, USAGeisinger Medical Center, Danville, PA 17821, USAGeisinger Medical Center, Danville, PA 17821, USA<i>Background and Objectives</i>: When prosthetic joint infections, known for their high morbidity, are caused by high-virulence organisms such as <i>Staphylococcus</i>, the outcomes are even worse. This study aims to examine the outcomes of staphylococcal prosthetic joint infections after hemiarthroplasty for hip trauma patients, which has not been particularly reported. <i>Materials and Methods</i>: A retrospective study was performed in a level 1 trauma center to review all the cases of prosthetic joint infections in our database. Patients’ demographics, clinical inpatient, surgical, and outpatient notes, laboratory results, and serial radiographs were assessed to extract all relevant data. <i>Results</i>: Out of 2477 hip hemiarthroplasty cases reviewed, a total of 36 prosthetic joint infection cases caused by <i>Staphylococcus</i> species in 36 patients were included in this study. Patients were 26 females and 10 males with a mean age of 76.5 years at the time of surgery. Fifteen cases had infections with methicillin-resistant <i>Staphylococcus aureus</i> (MRSA) while twenty-one cases had infections with other <i>Staphylococcus</i> species. The mean follow-up for all cases is 43.5 months. Twenty-nine cases underwent at least a single trial for surgical debridement and implant retention surgery, and only nine (31%) had successful debridement and implant retention. The 3-month, 1-year, and 3-year cumulative mortality for all cases was 22.2, 30.5, and 41.7%, respectively. <i>Conclusions</i>: Staphylococcal hemiarthroplasty infection is a devastating complication that is associated with a low success (31%) of implant retention surgery, significantly high morbidity, and high cumulative mortality.https://www.mdpi.com/1648-9144/61/4/602<i>Staphylococcus</i>Staphylococcal infectionsinfectionsperiprosthetic infectionsprosthetic joint infectionhemiarthroplasty |
| spellingShingle | Ahmed Nageeb Mahmoud Nicholas R. Brule Michael Suk Daniel Scott Horwitz Outcomes of Staphylococcal Prosthetic Joint Infection After Hip Hemiarthroplasty: Single Center Retrospective Study Medicina <i>Staphylococcus</i> Staphylococcal infections infections periprosthetic infections prosthetic joint infection hemiarthroplasty |
| title | Outcomes of Staphylococcal Prosthetic Joint Infection After Hip Hemiarthroplasty: Single Center Retrospective Study |
| title_full | Outcomes of Staphylococcal Prosthetic Joint Infection After Hip Hemiarthroplasty: Single Center Retrospective Study |
| title_fullStr | Outcomes of Staphylococcal Prosthetic Joint Infection After Hip Hemiarthroplasty: Single Center Retrospective Study |
| title_full_unstemmed | Outcomes of Staphylococcal Prosthetic Joint Infection After Hip Hemiarthroplasty: Single Center Retrospective Study |
| title_short | Outcomes of Staphylococcal Prosthetic Joint Infection After Hip Hemiarthroplasty: Single Center Retrospective Study |
| title_sort | outcomes of staphylococcal prosthetic joint infection after hip hemiarthroplasty single center retrospective study |
| topic | <i>Staphylococcus</i> Staphylococcal infections infections periprosthetic infections prosthetic joint infection hemiarthroplasty |
| url | https://www.mdpi.com/1648-9144/61/4/602 |
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