Two-stage revision for treatment of periprosthetic infection following hip arthroplasty / 南方医科大学学报
Journal of Southern Medical University
;
(12): 690-693, 2011.
Article
in Chinese
| WPRIM
| ID: wpr-332573
ABSTRACT
<p><b>OBJECTIVE</b>To evaluate the efficacy and optimal re-implantation time of two-stage revision for management of periprosthetic infection following hip arthroplasty.</p><p><b>METHODS</b>We retrospectively analyzed the clinical data of 15 patients (15 hip joints) undergoing two-stage ipsilateral total hip arthroplasty (THA) revision from January, 2006 to January, 2010. In the first stage, after surgical debridement and thorough removal of all the implants, a self-made Vancomycin-loaded cement spacer was implanted. The second stage operation was performed 3-6 months later for debridement and removal of the antibiotic-loaded spacer, followed by re-implantation of Vancomycin-loaded bone cement prosthesis in 9 cases and cementless prosthesis in 6 cases. The patients were followed up for 9-46 months (mean 25 months) after the operation.</p><p><b>RESULTS</b>No reinfection or prosthesis loosening/displacement was found in these cases after the operation. The Harris score increased from 40.3 before the operation to 54.0 after the first-stage operation, and to 88.2 at the last follow-up.</p><p><b>CONCLUSION</b>Two-stage revision is effective for treatment of periprosthetic infection following hip arthroplasty, and 3-6 months can be the optimal interval between the two the first-stage and second-stage operation for re-implantation.</p>
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Reoperation
/
General Surgery
/
Retrospective Studies
/
Treatment Outcome
/
Prosthesis-Related Infections
/
Arthroplasty, Replacement, Hip
/
Hip Prosthesis
/
Methods
Type of study:
Observational study
Limits:
Adult
/
Aged
/
Female
/
Humans
/
Male
Language:
Chinese
Journal:
Journal of Southern Medical University
Year:
2011
Type:
Article
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