[The treatment of infectious complications after endoprosthesis of the joints in patients with oncological diseases of joints and bones].

ABSTRACT

Infectious complications after endoprosthesis of the main joints, performed for tumors of the bones, are registered in 9.5% of observations. These complications occur more frequently in patients, to whom the conduction of supportive antitumoral therapy is indicated. Algorhythm, including the staged performance of conservative and surgical interventions, was elaborated for treatment of such complications. Conservative measures had included active draining of the wound, systemic and local antibacterial therapy, and while applying the surgical treatment--using of spacers and other methods of reconstruction (dystractional and bone-plasty one). Application of such algorhythm have permitted to achieve successful treatment of infectious complication, preserving functioning extremity in 66.7% of cases.