(ii) The prevention of infection in total hip arthroplasty

Infection after total hip arthroplasty (THA) can lead to pain, decreased function, dislocation and lengthy revision operations over a protracted period of time. We must also consider the psychological impact on the patient and the consequent dissatisfaction with the operation. Modern surgical techniques and technology have contributed significantly to reductions in infection rates, using principles that are firmly based on the observations of pioneers such as Pasteur and Lister from the mid nineteenth century.This paper presents an evidence based review of techniques used to reduce the risk of infection during total hip arthroplasty. Early and contemporary methods are discussed along with the basis for their use.