RT Journal
A1 Blumenfeld, Thomas J.
T1 Commentary on an article by Christopher F. Wolf, MD, et al.: “Comparison of One and Two-Stage Revision of Total Hip Arthroplasty Complicated by Infection. A Markov Expected-Utility Decision Analysis”
JF The Journal of Bone & Joint Surgery
JO The Journal of Bone & Joint Surgery
YR 2011
FD April 6
VO 93
IS 7
SP e33 1
OP 2
DO 10.2106/JBJS.K.00013
UL http://dx.doi.org/10.2106/JBJS.K.00013
AB 
In the United States the treatment of an infection at the site of a total hip arthroplasty is usually performed in two surgical stages, whereas in Europe single-stage surgery, or direct-exchange arthroplasty, is often employed. To date, the literature indicates that the two-stage approach is favored, as the ability to eradicate the infection is typically improved. Depending on the organism identified, the patient's own host factors (medical comorbidities), and the ability to deliver appropriate antibiotics, the quoted success rate for a two-stage approach is 85% to 90%1.