One-Stage Revision of Infected Total Hip Arthroplasty with Bone Graft
Contribuinte(s) |
UNIVERSIDADE DE SÃO PAULO |
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Data(s) |
19/10/2012
19/10/2012
2008
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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 |
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 |