One-Stage Revision of Infected Total Hip Arthroplasty with Bone Graft
| Autor: | Ana Lúcia Lei Munhoz Lima, Emerson Honda, Sergio Rudelli, David Everson Uip |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
Adult
Male Reoperation medicine.medical_specialty Prosthesis-Related Infections Arthroplasty Replacement Hip Staphylococcus Kaplan-Meier Estimate Ciprofloxacin Humans Medicine Orthopedics and Sports Medicine Femur Sinus (anatomy) Aged Retrospective Studies Aged 80 and over Bone Transplantation business.industry Clindamycin One stage Acetabulum Surgical wound Middle Aged Staphylococcal Infections Combined Modality Therapy Anti-Bacterial Agents Surgery Radiography Hip arthroplasty Treatment Outcome medicine.anatomical_structure Female Hip Joint Implant business Follow-Up Studies Total hip arthroplasty |
| Zdroj: | The Journal of Arthroplasty. 23:1165-1177 |
| ISSN: | 0883-5403 |
| Popis: | There are many different opinions in the literature regarding the best procedure for revision of infected hip arthroplasty and hence in achieving long-term stabilization of a new implant. Thirty-two patients with 32 loose and infected total hip arthroplasties underwent revision with a bone graft in a 1-stage procedure. The bone graft was used in the acetabulum and femur in 25 patients, in the acetabulum alone in 4 patients and in the femur alone in 3 patients. A metal mesh was necessary in 15 patients to contain the morselized bone graft. At the time of surgical revision, 9 patients had a draining sinus, 6 had a closed sinus, and 17 had never had sinuses in the surgical wound. Antibiotic therapy was administered intravenously and orally for 6 months. Mean follow-up was 103 months (range, 63-183 months), and infection recurred in 2 (6.2%) cases. Further studies are necessary, and continuation of this method is justified. |
| Databáze: | OpenAIRE |
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