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Instructional Course Lecture   |    
Instructional Course Lectures, The American Academy of Orthopaedic Surgeons - Diagnosis of Infection following Total Hip Arthroplasty*†
M. J. SPANGEHL, M.D., F.R.C.S.(C)‡; A. S. E. YOUNGER, M.B., M.SC., F.R.C.S.(C)‡; B. A. MASRI, M.D., F.R.C.S.(C)‡; C. P. DUNCAN, M.B., M.SC., F.R.C.S.(C)‡, VANCOUVER, BRITISH COLUMBIA, CANADA
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An Instructional Course Lecture, The American Academy of Orthopaedic Surgeons
J Bone Joint Surg Am, 1997 Oct 01;79(10):1578-88
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High rates of infection complicated the early experience with total hip arthroplasty and, although the rates have decreased substantially over the last few decades, infection still is a source of considerable morbidity. In the 1960s, Charnley reported a rate of infection of 9.5 per cent (nineteen infections after 199 total hip arthroplasties)5. More recently, authors have reported that infection causes failure after 1 per cent (seventy-one of 5081 and twenty-seven of 2084) to 2 per cent (ninety-four of 5500 and thirty-six of 1798) of primary total hip arthroplasties6,13,20,22,37,38,42,58,61, and the rate is higher after revision procedures. Although these percentages are small, the large number of hip arthroplasties performed each year results in a major burden on the health-care system62. Infection following total hip arthroplasty is costly to treat because of the subsequent need for reoperation and the prolonged hospitalization often required to eradicate the infection. In the United States, the cost per year to treat the 3500 to 4000 infections following total hip arthroplasty is between 150 and 200 million dollars62. Because of an aging population that will need an increasing number of arthroplasties, methods to prevent, diagnose, and treat infection must be perfected in order to reduce the cost of total hip arthroplasty to society.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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