Two-Stage Revision for Periprosthetic Infection
What is Two-Stage Revision for Periprosthetic Infection?
Two-stage revision is the gold standard treatment for chronic periprosthetic hip infection. It involves removal of the infected implant, thorough debridement and a period of targeted antibiotic therapy, followed by definitive revision implantation once the infection has been eradicated.
Who is suitable?
Two-Stage Revision for Periprosthetic Infection is indicated for:
Dr Stoita will review your symptoms, activity goals, and any existing imaging. A detailed clinical examination is performed to confirm the diagnosis and discuss whether this procedure is the right option for you.
Initial visitX-rays, MRI or other imaging may be used to confirm the diagnosis and assess the extent of the condition. In complex cases, 3D computerised modelling may be used to assist with surgical planning.
Pre-surgeryThe procedure is performed under anaesthesia using the most appropriate surgical technique for your condition. Dr Stoita uses minimally invasive approaches where possible to reduce recovery time and optimise outcomes.
Day of procedureWeight bearing and mobility are limited during the interval between stages, depending on the type of spacer used. This phase typically lasts 6–12 weeks while infection is treated.
Hospital stay is typically 5–7 days following the second stage. Rehabilitation follows a protocol similar to complex revision hip replacement.
Gradual return to function over several months, with a structured physiotherapy program to restore walking, strength and range of motion.
Frequently Asked Questions (FAQ)
Hip arthritis usually develops over time rather than from a single cause. The most common reason is gradual wear of the joint cartilage with age. However, many people develop it earlier due to subtle issues with the shape of the hip, when the ball and socket don’t fit perfectly, it creates uneven pressure that slowly damages the joint. Previous injuries, such as fractures or dislocations, can also speed up this process. In some cases, genetics, inflammation, or increased load on the joint (including higher body weight or repetitive stress) contribute.
