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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 158 - 165 (8page)
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Purpose: Debridement, antibiotics and implant retention (DAIR) is commonly performed and widely accepted for the treatment of acute infections following hip arthroplasty. The aims of this study were to: i) determine the DAIR success rate in treating acute postoperative and hematogenous periprosthetic infections of the hip at a tertiary hospital, ii) identify possible outcome predictors, and iii) analyze clinical and radiological outcomes. Materials and Methods: We retrospectively reviewed cases of acute postoperative (≤3 months from index procedure) and hematogenous periprosthetic infections following total hip arthroplasty treated with DAIR at our hospital between 2004 and 2015. Overall, 26 hips (25 patients) were included in the study, with a mean age of 72.5 years (standard deviation [SD], 9.4). The mean follow-up was 48.5 months (SD, 43.7). Several variables (e.g., patient characteristics, infection type, surgery parameters) were examined to evaluate their influence on outcomes; functional and radiographic outcomes were assessed. Results: The overall success rate of DAIR was 26.9%. The male sex was associated with treatment failure (P=0.005) and debridement performed by a surgeon in hip unit with success (P=0.028). DAIR failure increased in patients with chronic pulmonary disease (P=0.059) and steroid therapy (P=0.062). Symptom duration of <11 days until DAIR yielded a better infection eradication rate (P=0.068). The mean postoperative Harris Hip Score was 74.2 (SD, 16.6). Conclusion: DAIR, despite being used frequently, had a high failure rate in our series. Outcomes improved if an experienced hip arthroplasty surgeon performed the surgery. Patient comorbidities and symptom duration should be considered for decision-making.
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참고문헌 (30)
참고문헌 신청
Pulido L / 2008 / Periprosthetic joint infection : the incidence, timing, and predisposing factors / Clin Orthop Relat Res 466:1710~1715
Del Pozo JL / 2009 / Clinical practice. Infection associated with prosthetic joints / N Engl J Med 361:787~794
Dale H / 2012 / Increasing risk of prosthetic joint infection after total hip arthroplasty / Acta Orthop 83:449~458
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
Azzam KA / 2010 / Irrigation and debridement in the management of prosthetic joint infection : traditional indications revisited / J Arthroplasty 25:1022~1027
Del Pozo JL / 2009 / Clinical practice. Infection associated with prosthetic joints / N Engl J Med 361:787~794
Dale H / 2012 / Increasing risk of prosthetic joint infection after total hip arthroplasty / Acta Orthop 83:449~458
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
Azzam KA / 2010 / Irrigation and debridement in the management of prosthetic joint infection : traditional indications revisited / J Arthroplasty 25:1022~1027
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