{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T22:59:19Z","timestamp":1777676359693,"version":"3.51.4"},"reference-count":21,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2015,12,15]],"date-time":"2015-12-15T00:00:00Z","timestamp":1450137600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["HIP International"],"published-print":{"date-parts":[[2016,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>This retrospective analysis evaluates 10 patients with a late infection of a cemented total hip arthroplasty (THA) treated with two-stage revision with retention of the original well-fixed femoral cement mantle.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Clinical, laboratory, and radiological outcomes were evaluated. The average age at the first-stage revision procedure was 61.5 years (range 38-80 y). The mean follow-up period was 26 months (range 5-54 m).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Successful eradication of the primary microorganism was achieved in 2 patients. These patients had negative cultures at second stage and did not show any signs of infection during follow-up. The other 8 patients were considered as failures. In 3 patients, the femoral cement mantle was removed after the first stage due to recurrent infection in Girdlestone situation. In 2 patients, cultures showed the same micro-organism at first and second stage, treated with 3 months of antibiotics after second stage. 2 patients showed negative cultures at second stage but still had recurrent infection afterwards. These where treated with debridement and implant retention (DAIR) and 3 months of antibiotics. 1 patient was treated with suppressive antibiotics for persistent prosthetic joint infection after second stage, despite DAIR and therapeutic antibiotic treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Based on this study, results of two-stage revision with retention of femoral cement mantle are disappointing in treatment of infected THA. Therefore, more research is required to determine which patients are appropriate for cement-within-cement revision.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.5301\/hipint.5000310","type":"journal-article","created":{"date-parts":[[2015,12,22]],"date-time":"2015-12-22T08:04:05Z","timestamp":1450771445000},"page":"67-72","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":11,"title":["Cement-within-Cement Revision of Infected Total Hip Replacement;                     Disappointing Results in 10 Retrospective Cases"],"prefix":"10.1177","volume":"26","author":[{"given":"Borg","family":"Leijtens","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Radboud University\r                Medical Centre, Nijmegen - The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nasrat","family":"Sadeghi","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Radboud University\r                Medical Centre, Nijmegen - The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Berend W.","family":"Schreurs","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Radboud University\r                Medical Centre, Nijmegen - The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wim H.","family":"Rijnen","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Radboud University\r                Medical Centre, Nijmegen - The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2015,12,15]]},"reference":[{"key":"bibr1-hipint.5000310","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.H.00155"},{"key":"bibr2-hipint.5000310","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/cis966"},{"key":"bibr3-hipint.5000310","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.95B11.32906"},{"key":"bibr4-hipint.5000310","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-200112000-00021"},{"key":"bibr5-hipint.5000310","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.88B6.17037"},{"key":"bibr6-hipint.5000310","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200403000-00004"},{"key":"bibr7-hipint.5000310","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.75B6.8245073"},{"key":"bibr8-hipint.5000310","doi-asserted-by":"publisher","DOI":"10.3928\/01477447-20090728-16"},{"key":"bibr9-hipint.5000310","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.60B1.627570"},{"key":"bibr10-hipint.5000310","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199608000-00034"},{"key":"bibr11-hipint.5000310","doi-asserted-by":"publisher","DOI":"10.1007\/s15010-006-5039-2"},{"key":"bibr12-hipint.5000310","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.94B3.28256"},{"key":"bibr13-hipint.5000310","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.74B3.1587883"},{"key":"bibr14-hipint.5000310","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra040181"},{"key":"bibr15-hipint.5000310","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.91B9.21750"},{"key":"bibr16-hipint.5000310","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-014-2309-y"},{"key":"bibr17-hipint.5000310","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.91B1.20930"},{"key":"bibr18-hipint.5000310","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.93B1.25120"},{"key":"bibr19-hipint.5000310","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.92B9.23663"},{"key":"bibr20-hipint.5000310","doi-asserted-by":"publisher","DOI":"10.1007\/s12306-011-0128-5"},{"key":"bibr21-hipint.5000310","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2011.08.018"}],"container-title":["HIP International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.5301\/hipint.5000310","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.5301\/hipint.5000310","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.5301\/hipint.5000310","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T08:18:36Z","timestamp":1777450716000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.5301\/hipint.5000310"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,12,15]]},"references-count":21,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2016,1]]}},"alternative-id":["10.5301\/hipint.5000310"],"URL":"https:\/\/doi.org\/10.5301\/hipint.5000310","relation":{},"ISSN":["1120-7000","1724-6067"],"issn-type":[{"value":"1120-7000","type":"print"},{"value":"1724-6067","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,12,15]]}}}