지원사업
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
- 2020.1
- 수록면
- 26 - 34 (9page)
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초록· 키워드
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Purpose: Currently, standard management of a peri-prosthetic infection is a two-stage revision precedure. However, removal of well-fixed cement is technically demanding and associated with numerous potential complications. For theses reasons, two-stage revision with preservation of the original femoral stem can be considered and several previous studies have achieved successful results. While most prior studies used cemented stems, the use of cementless stems during arthroplasty has been gradually increasing; this study aims to assess the comparative effectiveness of a two-stage revision of infected hip arthroplasties at preserving cemented and cementless stems. Materials and Methods: Between December 2001 and February 2017, Inje University Sanggye Paik Hospital treated 45 cases of deep infections following hip arthroplasty with a two stage revisional arthroplasty using antibiotics-loaded cement spacers. This approach was applied in an effort to preserve the previously implanted femoral stem. Of these 45 cases, 20 were followed-up for at least two years and included in this analysis. Perioperative clinical symptoms, radiological findings, function and complications during insertion of an antibioticsloaded cement spacer were analyzed in this study. Results: Peri-prothetic infections were controlled in 19 of the 20 included cases. Clinical outcomes, as assessed using the Harris hip score, Western Ontario and McMaster University score, also improved. Importantly, similarly improved outcomes were achieved for both cemented and cementless femoral stems. Conclusion: In cases of deep infection following hip arthroplasty, two-stage revision arthroplasty to preserve the previously implanted femoral stem (cemented or cementless) effectively controls infections and preserves joint function.
목차
등록된 정보가 없습니다.
참고문헌 (34)
참고문헌 신청
Canner GC / 1984 / The infected hip after total hip arthroplasty / J Bone Joint Surg Am 66:1393~1399
Phillips JE / 2006 / The incidence of deep prosthetic infections in a specialist orthopaedic hospital : a 15-year prospective survey / J Bone Joint Surg Br 88:943~948
Volin SJ / 2004 / Two-stage reimplantation of total joint infections : a comparison of resistant and nonresistant organisms / Clin Orthop Relat Res (427):94~100
Toms AD / 2006 / The management of peri-prosthetic infection in total joint arthroplasty / J Bone Joint Surg Br 88:149~155
Paprosky WG / 2001 / Component removal in revision total hip arthroplasty / Clin Orthop Relat Res (393):181~193
Phillips JE / 2006 / The incidence of deep prosthetic infections in a specialist orthopaedic hospital : a 15-year prospective survey / J Bone Joint Surg Br 88:943~948
Volin SJ / 2004 / Two-stage reimplantation of total joint infections : a comparison of resistant and nonresistant organisms / Clin Orthop Relat Res (427):94~100
Toms AD / 2006 / The management of peri-prosthetic infection in total joint arthroplasty / J Bone Joint Surg Br 88:149~155
Paprosky WG / 2001 / Component removal in revision total hip arthroplasty / Clin Orthop Relat Res (393):181~193
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