Clinical experience of treating infection after total hip arthroplasty / 中华外科杂志
Chinese Journal of Surgery
;
(12): 1313-1316, 2005.
Article
in Chinese
| WPRIM
| ID: wpr-306117
ABSTRACT
<p><b>OBJECTIVE</b>To present the experience in the management of the infected total hip arthroplasty (THA).</p><p><b>METHODS</b>Forty-three cases (44 hips) of infection after THA were reviewed. Eighteen women and 25 men with a mean age of 54 years (range, 24-81 years) were studied. Follow-up ranged from 5 months to 16 years (mean, 3.2 years). Treatment strategies included one-stage revision (n = 7), two-stage revision (n = 15), resection arthroplasty (n = 13), debridement and retain prosthesis (n = 5), and others (n = 3).</p><p><b>RESULTS</b>Forty cases had positive culture result with 59 organisms including 19 staphylococcus epidermidis and 10 staphylococcus aureus. Thirty-six cases had been followed up, and no case had infection recurrence. Twenty-nine cases had postoperative Harris hip score averaged 78.5 (45-98).</p><p><b>CONCLUSIONS</b>The diagnosis and treatment of infection after hip replacement is very difficult. The violence and antibiotic resistant rate of the organisms is high. Two-stage reconstruction of the infected hip is useful and effective because of higher eradication rate of the infection and good postoperative functional result.</p>
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Arthroplasty
/
Staphylococcal Infections
/
Therapeutics
/
Retrospective Studies
/
Treatment Outcome
/
Prosthesis-Related Infections
/
Combined Modality Therapy
/
Arthroplasty, Replacement, Hip
/
Therapeutic Uses
/
Hip Prosthesis
Type of study:
Observational study
Limits:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
Language:
Chinese
Journal:
Chinese Journal of Surgery
Year:
2005
Type:
Article
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