The second stage revision for infected total hip arthroplasty using antibiotic-loaded cement prosthesis / 中华外科杂志
Chinese Journal of Surgery
;
(12): 246-248, 2007.
Article
in Chinese
| WPRIM
| ID: wpr-334365
ABSTRACT
<p><b>OBJECTIVE</b>To investigate the effect of two-stage revision for infected total hip arthroplasty (THA) using antibiotic-loaded cement prosthesis.</p><p><b>METHODS</b>From June 1999 to October 2004, 14 patients who admitted for infected primary total hip arthroplasty surgeries were performed revision surgery with antibiotic-loaded cement prosthesis in two-stage. The mean Harris score of pre-operation was 23. In the first stage operation, the following steps were performed, complete debridement, removal of infected prosthesis, implantation of cement spacer with antibiotics, treatment involved concomitant administration of 3 weeks of intravenous (IV) and 1 month of oral. After 6 months, antibiotic-loaded prosthesis was implanted in the second stage.</p><p><b>RESULTS</b>The mean follow-up was 18 months (7 - 26 months), no recurrent infection occurred in all 14 patients. The mean post-operation Harris score was 70.</p><p><b>CONCLUSIONS</b>The success of the protocol to control the delayed infection after THA are complete debridement, enough interval and using antibiotic-loaded cement prosthesis in two stage revision.</p>
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Reoperation
/
General Surgery
/
Bone Cements
/
Follow-Up Studies
/
Prosthesis-Related Infections
/
Arthroplasty, Replacement, Hip
/
Therapeutic Uses
/
Diagnosis
/
Hip Prosthesis
/
Anti-Bacterial Agents
Type of study:
Diagnostic study
/
Practice guideline
/
Observational study
/
Prognostic study
Limits:
Adult
/
Aged
/
Female
/
Humans
/
Male
Language:
Chinese
Journal:
Chinese Journal of Surgery
Year:
2007
Type:
Article
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