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在全髋关节置换术治疗感染性假体周围骨折中使用“抗生素药敏板”。

Use of an "antibiotic plate" for infected periprosthetic fracture in total hip arthroplasty.

机构信息

Division of Orthopaedic Trauma, Department of Orthopaedic Surgery, University of Medicine and Dentistry of New Jersey, New Jersey Medical School, Newark, NJ 07103, USA.

出版信息

J Orthop Trauma. 2012 Mar;26(3):e18-23. doi: 10.1097/BOT.0b013e318216dd60.

Abstract

Periprosthetic fracture and infection are dreaded complications after total hip arthroplasty. We present the case of a 50-year-old man who suffered an early postoperative Vancouver B1 periprosthetic fracture, which was further complicated by concurrent infection after open reduction and internal fixation. We report the novel use of an antibiotic-impregnated cement coated locking plate during the staged treatment of concomitant periprosthetic fracture and chronic total hip arthroplasty infection. At 1-year follow-up, the patient is pain free and ambulating independently with full range of motion.

摘要

全髋关节置换术后,假体周围骨折和感染是令人担忧的并发症。我们报告了一例 50 岁男性患者,他在全髋关节置换术后早期发生了温哥华 B1 型假体周围骨折,随后在切开复位内固定后并发感染。我们报告了一种新型的抗生素涂层锁定钢板在分期治疗假体周围骨折和慢性全髋关节置换术后感染中的应用。在 1 年的随访中,患者无疼痛,可独立行走,活动度完全恢复。

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