关节内注射类固醇激素后全髋关节置换术的安全性——一项审计

Safety of total hip replacement following an intra-articular steroid hip injection--an audit.

作者信息

Sankar Biju, Seneviratne Shanaka, Radha Sarkhel, Rajeev Aysha, Banaszkiewicz Paul

机构信息

Department of Trauma and Orthopaedics, Queen Elizabeth Hospital, Gateshead, Tyne and Wear, UK.

出版信息

Acta Orthop Belg. 2012 Apr;78(2):183-6.

PMID:22696987

Abstract

The aim of this study was to determine the deep infection rates in patients who underwent a total hip replacement after having had a prior diagnostic steroid injection into the same hip. We identified and reviewed the case notes, relevant radiographs and microbiology reports of all patients who underwent a total hip replacement after a diagnostic steroid hip injection in our unit from 1 January 2007 to 31 April 2009. There were 40 patients. (10 males and 30 females) Their mean age was 68.4 (52-82) years. The mean time interval from the injection to the joint replacement was 6.2 (2-23) months. The mean follow-up was 23.2 (11-37) months. None of the patients in the study group developed a deep infection during this followup period. Diagnostic intra articular steroid and local anaesthetic injection prior to total hip replacement appears to be safe.

摘要

本研究的目的是确定先前曾在同一髋关节接受诊断性类固醇注射的患者在进行全髋关节置换术后的深部感染率。我们识别并回顾了2007年1月1日至2009年4月31日在我们科室接受诊断性类固醇髋关节注射后进行全髋关节置换术的所有患者的病例记录、相关X光片和微生物学报告。共有40例患者（10例男性和30例女性）。他们的平均年龄为68.4岁（52 - 82岁）。从注射到关节置换的平均时间间隔为6.2个月（2 - 23个月）。平均随访时间为23.2个月（11 - 37个月）。在该随访期内，研究组中没有患者发生深部感染。全髋关节置换术前进行诊断性关节内类固醇和局部麻醉剂注射似乎是安全的。