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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 35 - 43 (9page)
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초록· 키워드
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Purpose: The treatment of infected revision total hip arthroplasty (THA) is very challenging due to retained revision prosthesis, poor bone stock and soft tissue condition derived from previous revision surgeries, and comorbidities. The purpose of this study was to investigate the effectiveness and short-term outcomes of aggressive debridement and use of antibiotic-loaded cement beads with retention of the prosthesis for acute delayed or late infection of revision THAs.
Materials and Methods: Ten consecutive patients with symptoms or signs of less than one-week evolution and well-fixed prostheses, were treated with this procedure and a postoperative course of organism-specific antibiotics for a minimum of 6 weeks. All hips presented with acute delayed or late infection of revision THAs. Patients with a mean age of 68.1 years (range, 59-78 years) underwent an average of 1.9 previous revision THAs (1-4) before the index surgery. The minimal follow-up was 2 years with a mean of 46.2 months (range, 24-64 months).
Results: There were 8 cures (80.0%) and 2 failures with no mortality during the study period. The 2 failures involved the same and resistant bacteria implicated in the primary infection (methicillin-resistant Staphylococcus aureus and Prevotella oralis, respectively). The mean Harris hip score was 65.2 (range, 26-83) and the mean visual analogue scale was 2.6 (range, 1-4) at final follow-up.
Conclusion: With a favorable success rate and no mortality, our procedure may be considered a safe and effective alternative for the treatment of acute delayed or late infection of revision THAs with well-fixed prostheses.
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참고문헌 (25)
참고문헌 신청
Aboltins CA / 2007 / Treatment of staphylococcal prosthetic joint infections with debridement, prosthesis retention and oral rifampicin and fusidic acid / Clin Microbiol Inf
Berend KR / 2013 / Two-stage treatment of hip periprosthetic joint infection is associated with a high rate of infection control but high mortality / Clin Orthop Relat Res 4
Bozic KJ / 2005 / The impact of infection after total hip arthroplasty on hospital and surgeon resource utilization / J Bone Joint Surg Am 87 : 1746 ~ 1751
Cataldo MA / 2010 / Prosthetic joint infection: recent developments in diagnosis and management / J Infect 61 : 443 ~ 448
Ekpo TE / 2014 / Partial two-stage exchange for infected total hip arthroplasty: a preliminary report / Clin Orthop Relat Res 472 : 437 ~ 448
Berend KR / 2013 / Two-stage treatment of hip periprosthetic joint infection is associated with a high rate of infection control but high mortality / Clin Orthop Relat Res 4
Bozic KJ / 2005 / The impact of infection after total hip arthroplasty on hospital and surgeon resource utilization / J Bone Joint Surg Am 87 : 1746 ~ 1751
Cataldo MA / 2010 / Prosthetic joint infection: recent developments in diagnosis and management / J Infect 61 : 443 ~ 448
Ekpo TE / 2014 / Partial two-stage exchange for infected total hip arthroplasty: a preliminary report / Clin Orthop Relat Res 472 : 437 ~ 448
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