Krasin E, Goldwirth M, Hemo Y, Gold A, Herling G, Otremski I
Department of Orthopaedics 'A', Tel Aviv Sourasky Medical Centre and the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
J Hosp Infect. 2001 Mar;47(3):235-8. doi: 10.1053/jhin.2000.0809.
Seven patients suffering from an acute (less than two weeks) infection of a total hip arthroplasty were treated by irrigation and debridement, with appropriate antibiotic therapy and retention of the prosthesis. They were followed for an average of 30 months. Infection did not recur in five (71%) patients, but the other two required further surgery. We conclude that a cure can be obtained by this method, although the results are inferior to re-implantation. A minimal procedure spares a patient the morbidity and cost of a more extensive operation. Higher success rates might have been achieved by selecting patients infected with organisms of low virulence, but there are insufficient data to predict whether this treatment would decrease the success of subsequent re-implantation.
七名全髋关节置换术后发生急性（少于两周）感染的患者接受了冲洗清创术，并给予适当的抗生素治疗，同时保留假体。对他们进行了平均30个月的随访。五名（71%）患者感染未复发，但另外两名患者需要进一步手术。我们得出结论，尽管该方法的结果不如再次植入，但通过这种方法可以实现治愈。一个微创的手术可以使患者避免更广泛手术带来的发病率和费用。通过选择感染低毒力微生物的患者可能会获得更高的成功率，但目前尚无足够的数据来预测这种治疗是否会降低后续再次植入的成功率。
