Two-stage reconstruction of infected hip joints
Two-stage reconstruction of infected hip joints
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DOI：
10.1016/j.arth.2007.06.007
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发表时间：
2008-08-01
影响因子：
3.5
通讯作者：
Yoon, Taek Rim
中科院分区：
文献类型：
--
作者：
Diwanji, Sanket R.;Kong, Il Kyu;Yoon, Taek Rim
使用骨水泥垫片进行二期重建是全髋关节置换术（THA）后深部感染的首选治疗方法。我们评估了这种技术治疗原发性髋关节感染的结果。连续9例髋关节感染患者使用这种技术进行治疗。平均随访时间为42个月。在第一阶段进行清创和植入骨水泥垫片。感染根除后，在第二阶段转为THA。在9个髋关节中，8个在平均23周后成功转为THA。1例患者需要重新插入融合器，另1例患者在THA后发生再次感染。平均Harris髋关节评分从术前的38.37改善到两个阶段之间的57.62，最终随访时为97.83。研究发现，使用骨水泥填充的骨水泥间隔器进行二期重建，对于治疗各种病因的髋关节感染，结果令人满意。
Two-stage reconstruction using an antibiotic-loaded cement spacer is the preferred treatment of deep infection after total hip arthroplasty (THA). We evaluated the results of this technique for the treatment of primary hip infections. Nine consecutive patients with infected hip joints were treated using this technique. The average duration of follow-Lip was 42 months. Debridement and insertion of an antibiotic-loaded cement spacer was performed in the first stage. After eradication of infection, it was converted to THA in the second stage. Of the 9 hips, 8 were successfully converted to THA after an average of 23 weeks. One patient required spacer reinsertion, and another experienced reinfection after THA. Average Harris hip score improved from 38.37 before surgery to 57.62 between the 2 stages to 97.83 at final follow-up. Two-stage reconstruction using an antibiotic-loaded cement spacer was found to give satisfactory results for the treatment of hip infections with various etiologies.