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Welcome to JA,I will try and help you with your query.Currently a two stage surgery for chronic infection of old hip joint hardware is preferred by most surgeons.However,advocates of one stage surgery are there,the decision should be made by you and your surgeon after discussion on this subject.PolyMethylMetacrylate Antibiotic(PMMA) impregnated beads and other spacers(antibiotic loaded cement)have helped reduce cost and hospital duration by keeping a high antibiotic concentration locally for 3-4 weeks .This is the period that is required for absorption of the Seroma(serum filled gap in the cavity),this helps prevent any local infection and may reduce the need for I/V antibiotics in the post operative phase.Preoperative antibiotics may help sterilise the area and prevent infection along with spacers like beads/cement impregnated with antibiotics..Newer delivery system for antibiotics with elution time upto 4-6 months or longer are being developed and may be available.
I am guessing that if two hip implants dont resist infection thats pretty much it am I correct? I have had impacted teeth in my lower jaw since i discovered them in the late sixtyies and never had them removed Have had 2 eruptions in last year but no infections that I was aware of . Is it apossibility that these teeth could be causing the bacteria to attach to the implant ?? Is ther anyway of telling if they are infected? Had panogram before implant and maxiofacial surgeon said looked ok to him. Are ther any pain medications between the level that oxycodone and then the jump up to powerful intravenous meds like morfine? Thannks for you time and look forward to your response