Clinical experience of treating infection after total hip arthroplasty / 中华外科杂志
Chinese Journal of Surgery
; (12): 1313-1316, 2005.
Article
em Zh
| WPRIM
| ID: wpr-306117
Biblioteca responsável:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To present the experience in the management of the infected total hip arthroplasty (THA).</p><p><b>METHODS</b>Forty-three cases (44 hips) of infection after THA were reviewed. Eighteen women and 25 men with a mean age of 54 years (range, 24-81 years) were studied. Follow-up ranged from 5 months to 16 years (mean, 3.2 years). Treatment strategies included: one-stage revision (n = 7), two-stage revision (n = 15), resection arthroplasty (n = 13), debridement and retain prosthesis (n = 5), and others (n = 3).</p><p><b>RESULTS</b>Forty cases had positive culture result with 59 organisms including 19 staphylococcus epidermidis and 10 staphylococcus aureus. Thirty-six cases had been followed up, and no case had infection recurrence. Twenty-nine cases had postoperative Harris hip score averaged 78.5 (45-98).</p><p><b>CONCLUSIONS</b>The diagnosis and treatment of infection after hip replacement is very difficult. The violence and antibiotic resistant rate of the organisms is high. Two-stage reconstruction of the infected hip is useful and effective because of higher eradication rate of the infection and good postoperative functional result.</p>
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Artroplastia
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Infecções Estafilocócicas
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Terapêutica
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Estudos Retrospectivos
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Resultado do Tratamento
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Infecções Relacionadas à Prótese
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Terapia Combinada
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Artroplastia de Quadril
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Usos Terapêuticos
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Prótese de Quadril
Tipo de estudo:
Observational_studies
Limite:
Adult
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Aged
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Aged80
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Female
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Humans
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Male
Idioma:
Zh
Revista:
Chinese Journal of Surgery
Ano de publicação:
2005
Tipo de documento:
Article