Single-stage revision for fungal peri-prosthetic joint infection
Autor: | V. Jonen, Johannes M. Rueger, Atul F. Kamath, L. Frommelt, M. Gebauer, Daniel Kendoff, Thorsten Gehrke, Till Orla Klatte |
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Rok vydání: | 2014 |
Předmět: |
Adult
Male Reoperation musculoskeletal diseases medicine.medical_specialty Prosthesis-Related Infections Arthroplasty Replacement Hip Peri Comorbidity Recurrence medicine Humans Orthopedics and Sports Medicine Prosthesis-Related Infection Arthroplasty Replacement Knee Aged Retrospective Studies Aged 80 and over Single stage business.industry Prosthetic joint infection Retrospective cohort study Bacterial Infections Femoral fracture Middle Aged medicine.disease Surgery Mycoses Harris Hip Score Feasibility Studies Female Hip Prosthesis Knee Prosthesis business |
Zdroj: | The Bone & Joint Journal. :492-496 |
ISSN: | 2049-4408 2049-4394 |
DOI: | 10.1302/0301-620x.96b4.32179 |
Popis: | Fungal peri-prosthetic infections of the knee and hip are rare but likely to result in devastating complications. In this study we evaluated the results of their management using a single-stage exchange technique. Between 2001 and 2011, 14 patients (ten hips, four knees) were treated for a peri-prosthetic fungal infection. One patient was excluded because revision surgery was not possible owing to a large acetabular defect. One patient developed a further infection two months post-operatively and was excluded from the analysis. Two patients died of unrelated causes. After a mean of seven years (3 to 11) a total of ten patients were available for follow-up. One patient, undergoing revision replacement of the hip, had a post-operative dislocation. Another patient, undergoing revision replacement of the knee, developed a wound infection and required revision 29 months post-operatively following a peri-prosthetic femoral fracture. The mean Harris hip score increased to 74 points (63 to 84; p < 0.02) in those undergoing revision replacement of the hip, and the mean Hospital for Special Surgery knee score increased to 75 points (70 to 80; p < 0.01) in those undergoing revision replacement of the knee. A single-stage revision following fungal peri-prosthetic infection is feasible, with an acceptable rate of a satisfactory outcome. Cite this article: Bone Joint J 2014;96-B:492–6. |
Databáze: | OpenAIRE |
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