Management of deep infection of total hip replacement
| Autor: | Siegel A, Röttger J, Buchholz Hw, H Lodenkamper, Engelbrecht E, RA Elson |
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| Rok vydání: | 1981 |
| Předmět: |
medicine.medical_specialty
medicine.drug_class Antibiotics Total hip replacement Postoperative Complications Systemic antibiotics Streptococcal Infections Methods medicine Humans Pseudomonas Infections Orthopedics and Sports Medicine Escherichia coli Infections Revision arthroplasty business.industry Bone Cements Soft tissue One stage Bacterial Infections Anti-Bacterial Agents Surgery Hip Prosthesis Implant Proteus Infections business |
| Zdroj: | The Journal of Bone and Joint Surgery. British volume. :342-353 |
| ISSN: | 2044-5377 0301-620X |
| DOI: | 10.1302/0301-620x.63b3.7021561 |
| Popis: | Exchange operation is recommended as the treatment of choice for most deep infections involving a total hip replacement. This revision arthroplasty comprises, in one stage, excision of soft tissue, removal of implant and cement, replacement with an appropriate implant using Palacos R acrylic cement loaded with an appropriate antibiotic and, more recently, systemic antibiotics. During our first 10 years without systemic antibiotics we have achieved an overall 77 per cent success rate from a first attempt in 583 patients and a 90 per cent success rate after subsequent exchange procedures. Morbidity is significant but acceptable. Success is defined as control of infection, no loosening, and useful function. The factors associated with failures include, in particular, specific infections (Pseudomonas group, Streptococcus group D, Proteus group, and Escherichia coli), delay in operation and inadequate antibiotic dosage in the cement. |
| Databáze: | OpenAIRE |
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