This Article Full Text Full Text (PDF) Supplementary table Submit a response View responses Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in Web of Science Similar articles in PubMed Alert me to new issues of the journal My Folders Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Web of Science (11) Citing Articles via Google Scholar Google Scholar Articles by Kaspar, S. Articles by de V de Beer, J. Search for Related Content PubMed PubMed Citation Articles by Kaspar, S. Articles by de V de Beer, J.

Infection in hip arthroplasty after previous injection of steroid

Department of Orthopaedics, McFarland Clinic PC, 1215 Duff Avenue, Ames, Iowa 50010, USA.

J. de V de Beer, MD, FRCSC, Director, Hamilton Arthroplasty Group

Henderson Hospital, 711 Concession Street, Hamilton, Ontario K8V 1C3, Canada.

Correspondence should be sent to Dr S. Kaspar; e-mail: mightysamster1{at}aol.com

Immunosuppression following intra-articular injections of steroid into the hip may interfere with asepsis in a subsequent total hip arthroplasty (THA). We have undertaken a retrospective, matched, cohort study of infective complications after THA, in 40 patients who had received such an injection and 40 who had not.

In the injection group there were five revisions, four of which were for deep infection. There were none in the matched group. The overall rate of revision in our database of 979 primary THAs was 1.02%. Six additional patients who had received injections underwent investigation for infection because of persistent problems in the hip as compared with one in the control group.

This article has been cited by other articles:

				H.-N. Pang, N.-N. Lo, K.-Y. Yang, H.-C. Chong, and S.-J. Yeo Peri-articular steroid injection improves the outcome after unicondylar knee replacement: A PROSPECTIVE, RANDOMISED CONTROLLED TRIAL WITH A TWO-YEAR FOLLOW-UP J Bone Joint Surg Br, June 1, 2008; 90-B(6): 738 - 744. [Abstract] [Full Text] [PDF]

				A. R. Chitre, M. J. Fehily, and D. J. Bamford Total hip replacement after intra-articular injection of local anaesthetic and steroid J Bone Joint Surg Br, February 1, 2007; 89-B(2): 166 - 168. [Abstract] [Full Text] [PDF]

				A. R. CHITRE and S. SADIQ The incidence of deep prosthetic infections in a specialist orthopaedic hospital: a 15-year prospective study J Bone Joint Surg Br, February 1, 2007; 89-B(2): 281 - 281. [Full Text] [PDF]

				A. V. Papavasiliou, D. L. Isaac, R. Marimuthu, A. Skyrme, and A. Armitage Infection in knee replacements after previous injection of intra-articular steroid J Bone Joint Surg Br, March 1, 2006; 88-B(3): 321 - 323. [Abstract] [Full Text] [PDF]

eLetters: