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Acta Orthop Belg ; 78(2): 183-6, 2012 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-22696987

RESUMO

The aim of this study was to determine the deep infection rates in patients who underwent a total hip replacement after having had a prior diagnostic steroid injection into the same hip. We identified and reviewed the case notes, relevant radiographs and microbiology reports of all patients who underwent a total hip replacement after a diagnostic steroid hip injection in our unit from 1 January 2007 to 31 April 2009. There were 40 patients. (10 males and 30 females) Their mean age was 68.4 (52-82) years. The mean time interval from the injection to the joint replacement was 6.2 (2-23) months. The mean follow-up was 23.2 (11-37) months. None of the patients in the study group developed a deep infection during this followup period. Diagnostic intra articular steroid and local anaesthetic injection prior to total hip replacement appears to be safe.


Assuntos
Artrite Infecciosa/epidemiologia , Artroplastia de Quadril , Glucocorticoides/administração & dosagem , Glucocorticoides/efeitos adversos , Osteoartrite do Quadril/diagnóstico , Osteoartrite do Quadril/cirurgia , Prednisolona/administração & dosagem , Prednisolona/efeitos adversos , Idoso , Idoso de 80 Anos ou mais , Anestésicos Locais/administração & dosagem , Bupivacaína/administração & dosagem , Feminino , Humanos , Injeções Intra-Articulares , Masculino , Auditoria Médica , Pessoa de Meia-Idade , Osteoartrite do Quadril/tratamento farmacológico , Estudos Retrospectivos
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