One-Stage Revision of Infected Total Hip Arthroplasty with Bone Graft


Autoria(s): RUDELLI, Sergio; UIP, David; HONDA, Emerson; LIMA, Ana Lucia L. M.
Contribuinte(s)

UNIVERSIDADE DE SÃO PAULO

Data(s)

19/10/2012

19/10/2012

2008

Resumo

There are many different opinions in the literature regarding the best procedure for revision of infected hip arthroplasty and hence in achieving long-term stabilization of a new implant. Thirty-two patients with 32 loose and infected total hip arthroplasties underwent revision with a bone graft in a 1-stage procedure. The bone graft was used in the acetabulum and femure in 25 patients, in the acetabulum alone in 4 patients and in the femur alone in 3 patients. A metal mesh was necessary in 15 patients to contain the morselized bone graft. At the time of surgical revision, 9 patients had a draining sinus, 6 had a closed sinus, and 17 had never had sinuses in the surgical wound. Antibiotic therapy was administered intravenously and orally for 6 months. Mean follow-up was 103 months (range, 63-183 months), and infection recurred in 2 (6.2%) cases. Further studies are necessary, and continuation of this method is justified.

Identificador

JOURNAL OF ARTHROPLASTY, v.23, n.8, p.1165-1177, 2008

0883-5403

http://producao.usp.br/handle/BDPI/23431

10.1016/j.arth.2007.08.010

http://dx.doi.org/10.1016/j.arth.2007.08.010

Idioma(s)

eng

Publicador

CHURCHILL LIVINGSTONE INC MEDICAL PUBLISHERS

Relação

Journal of Arthroplasty

Direitos

restrictedAccess

Copyright CHURCHILL LIVINGSTONE INC MEDICAL PUBLISHERS

Palavras-Chave #hip arthroplasty #infection #1-stage revision #bone graft #metal #mesh #RESECTION ARTHROPLASTY #DEEP INFECTION #SEPTIC HIP #FOLLOW-UP #2-STAGE REIMPLANTATION #REPLACEMENT #RECONSTRUCTION #MANAGEMENT #IMPLANT #FAILURE #Orthopedics
Tipo

article

original article

publishedVersion