Repeat 2-Stage Revision for Recurrent Infection of Total Hip Arthroplasty
| Autor: | Michael D. Ries, Kirk Lin, Kunal P. Kalra, Kevin J. Bozic |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
Adult
Male Reoperation medicine.medical_specialty Recurrent infections Prosthesis-Related Infections Wound status Arthroplasty Replacement Hip medicine.medical_treatment Recurrence Vancomycin Antibiotic therapy medicine Humans Orthopedics and Sports Medicine Stage (cooking) Debridement business.industry Bone Cements Soft tissue Middle Aged Arthroplasty Anti-Bacterial Agents Surgery Tobramycin Female Hip Prosthesis business Total hip arthroplasty |
| Zdroj: | The Journal of Arthroplasty. 25:880-884 |
| ISSN: | 0883-5403 |
| Popis: | Eleven patients who developed reinfection after 2-stage revision for infected total hip arthroplasty (THA) were treated with a repeat 2-stage rerevision. Of the 11 rerevisions, 4 were successful, with no recurrent infection at mean follow-up of 44 months. Reinfection occurred in 7 patients of whom 6 involved either a significantly compromised host or poor local wound status. Clinical symptoms of infection were controlled in 4 of the 7 reinfected cases with antibiotic therapy in 2, irrigation and debridement in 1, and a third 2-stage revision THA in 1. Repeat 2-stage treatment of infected THA is associated with a high failure rate. However, successful results can be achieved particularly if the host is not immunocompromised and healthy soft tissue coverage is present. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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