Acute hematogenous infection following total hip and knee arthroplasty.

Autor: Konigsberg BS; Department of Orthopaedic Surgery, 981080 Nebraska Medical Center, Omaha, Nebraska., Della Valle CJ; Rush University Medical Center, Chicago, Illinois., Ting NT; Cleveland Clinic, Cleveland, Ohio., Qiu F; College of Public Health, 984375 Nebraska Medical Center, Omaha, Nebraska., Sporer SM; Winfield, Illinois.
Jazyk: angličtina
Zdroj: The Journal of arthroplasty [J Arthroplasty] 2014 Mar; Vol. 29 (3), pp. 469-72. Date of Electronic Publication: 2013 Aug 30.
DOI: 10.1016/j.arth.2013.07.021
Abstrakt: Forty consecutive patients (42 joints; 22 TKA, 20 THA) treated for acute hematogenous infections were reviewed. All patients underwent irrigation and debridement and exchange of the modular components. At a mean of 56 months (range, 25-124 months) recurrent infection, requiring surgery, developed in 9 of the 42 joints (21%); 8 of the 9 recurrent infections were in patients with a staphylococcal infection (P = 0.0004). Ten of the 40 patients (25%) died within 2 years of infection. Irrigation and debridement for the treatment of an acute hematogenous infection was successful in the majority of patients (76% survivorship at 2 years). Non-staphylococcal infections had a particularly low failure rate (96% survivorship at 2 years). The 2 year mortality rate among this subset of patients was strikingly high.
(© 2013.)
Databáze: MEDLINE
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