Morscher E, Babst R, Jenny H
Department of Surgery, University of Basel, Switzerland.
Int Orthop. 1990;14(2):161-5. doi: 10.1007/BF00180122.
Sixty-two patients presented with an infected total hip arthroplasty. Their management depended on their general medical condition, the clinical signs of infection, the type of infection, the degree of fixation of the components and the available bone stock. Treatment consisted of one of the following: debridement and lavage without removing the prosthesis, one or two stage revision arthroplasty, or excision arthroplasty. There were 11 early and 51 late infections. The commonest bacterium isolated was Staphylococcus epidermidis (30%). Primary revision of the femoral component was slightly more successful with a cemented prosthesis than with an uncemented prosthesis. The overall success rates for cemented and uncemented femoral components were roughly comparable (91.5%:90%). We make various recommendations for the management of infected total hip arthroplasties based on our experience.
62例患者出现全髋关节置换术后感染。他们的治疗方案取决于其一般身体状况、感染的临床体征、感染类型、假体固定程度以及可用骨量。治疗方法包括以下几种：在不移除假体的情况下进行清创和冲洗、一期或二期翻修关节成形术，或关节切除成形术。有11例早期感染和51例晚期感染。分离出的最常见细菌是表皮葡萄球菌（30%）。对于股骨部件的初次翻修，骨水泥型假体比非骨水泥型假体稍更成功。骨水泥型和非骨水泥型股骨部件的总体成功率大致相当（91.5%:90%）。基于我们的经验，我们对感染性全髋关节置换术的治疗提出了各种建议。
