Table 4 Advantages and limitations of various surgical treatments for SHA
From: Diagnosis and surgical treatment of chronic destructive septic hip arthritis
Surgical treatment | Advantages | Limitations |
|---|---|---|
Arthroscopic debridement | Less surgical trauma Faster functional recovery | Reinfection Multiple operations Acute infection only |
Open debridement | Relatively good infection control | Reinfection Potential complication Acute infection only |
Debridement + Girdlestone head and neck dissection | Complete infection removal | Activity limitation Potential complication |
Debridement + Girdlestone femoral head and neck resection + two-stage arthroplasty | Complete infection removal | Activity limitation Potential complication |
One-stage spacer therapy + two-stage arthroplasty | Limb length maintenance Function maintenance Less complication | Multiple operations Long-term antibiotic use and hospitalization High cost |
One-stage arthroplasty | Simpler procedure Shorter antibiotic use and hospitalization Lower cost | Indication selection Available Microbiology |