Two-stage revision hip arthroplasty for infection with a custom-made, antibiotic-loaded, cement prosthesis as an interim spacer
| Autor: | Pang Hsin Hsieh, Mel S. Lee, Chun Hsiung Shih, Lih Huei Chen, Wen E. Yang, Chi Hwa Chen |
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| Rok vydání: | 2004 |
| Předmět: |
Adult
Male Reoperation medicine.medical_specialty Prosthesis-Related Infections medicine.medical_treatment Arthroplasty Replacement Hip Critical Care and Intensive Care Medicine Prosthesis Disease course Two stage revision Interim medicine Humans Antibiotic loaded cement Aged Aged 80 and over business.industry Middle Aged Arthroplasty Surgery Anti-Bacterial Agents Hip arthroplasty Orthopedic surgery Female Hip Prosthesis business |
| Zdroj: | The Journal of trauma. 56(6) |
| ISSN: | 0022-5282 |
| Popis: | Background Two-stage reconstruction is a well-recognized treatment for deep infection of hip joint implants. The purpose of the study was to report the results of our treatment using a standardized protocol. Methods Forty-two consecutive patients with deep infection of the hip prosthesis were treated according to a prospective, two-stage resection/reimplantation protocol. Between stages, a custom-made, antibiotic-loaded, cement prosthesis was implanted as an interim spacer. Results Infection was eradicated in 41 patients after the first-stage operation. Thirty-six patients remained with the ability to walk with the interim cement pros-thesis. For 40 patients who underwent reimplantation, recurrence of infection was observed in only 1 patient at an average of 55.2 months' follow-up. Conclusion We have found that our two-stage treatment protocol is a reliable approach for the management of infected hip prostheses. It is effective for eradicating infection and for providing a mobile and functional joint through the treatment course. |
| Databáze: | OpenAIRE |
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