采用两阶段手术治疗复发性慢性感染性膝关节置换术。

The treatment of recurrent chronic infected knee arthroplasty with a 2-stage procedure.

作者信息

Antoci Valentin, Phillips Matthew J, Antoci Valentin, Krackow Kenneth A

机构信息

Deming Orthopedic Services, Mimbres Memorial Hospital, Deming, New Mexico 88030, USA.

出版信息

J Arthroplasty. 2009 Jan;24(1):159.e13-7. doi: 10.1016/j.arth.2008.02.003. Epub 2008 Apr 28.

DOI:10.1016/j.arth.2008.02.003

PMID:18534448

Abstract

We report the case of a patient with recurrent periprosthetic infections after total knee arthroplasty associated with bone destruction and massive bone loss that was successfully treated with a 2-stage procedure-resection arthroplasty with insertion of an antibiotic-impregnated cement rod-spacer and systemic antibiotics and then a resection arthrodesis of the knee with the use of an intercalary allograft fixed with a long intramedullary nail. This technique is a viable option for the treatment of recurrent periprosthetic infections after total knee arthroplasty associated with bone destruction, massive bone loss, and severe instability.

摘要

我们报告了一例全膝关节置换术后假体周围反复感染的患者，该感染伴有骨质破坏和大量骨质流失，通过两阶段手术成功治疗——切除关节成形术，植入抗生素骨水泥棒间隔物并全身使用抗生素，然后使用长髓内钉固定的间置同种异体骨进行膝关节切除关节融合术。对于治疗全膝关节置换术后伴有骨质破坏、大量骨质流失和严重不稳定的假体周围反复感染，该技术是一种可行的选择。