一期初次髋关节置换术治疗机械性失败伴深部感染的内固定股骨骨折：16 例疗效良好。
1-stage primary arthroplasty of mechanically failed internally fixated of hip fractures with deep wound infection: good outcome in 16 cases.
机构信息
Orthopaedic Surgery, HELIOS ENDO-Klinik, Hamburg, Germany.
出版信息
Acta Orthop. 2013 Aug;84(4):377-9. doi: 10.3109/17453674.2013.810520. Epub 2013 Jun 25.
Abstract
BACKGROUND AND PURPOSE
Mechanically failed internal fixation following hip fracture is often treated by salvage arthroplasty. If deep wound infection is present, a 2-stage procedure is often used. We have used a 1-stage procedure in infected cases, and we now report the outcome.
PATIENTS AND METHODS
We reviewed 16 cases of deep wound infection after mechanically failed hip fracture fixation, treated between 1994 and 2010. In all patients, a joint prosthesis was implanted in a 1-stage procedure.
RESULTS
After an average follow-up period of 12 (2-18) years, no reinfection was detected. In 4 cases, a hip dislocation occurred and 3 of these needed further surgery.
INTERPRETATION
A 1-stage procedure for arthroplasty of an infected, mechanically failed hip fracture fixation is feasible and carries a low risk of infection.
摘要
背景与目的
髋部骨折内固定术后发生机械性失败，常需采用补救性关节成形术治疗。如果存在深部伤口感染，通常采用两期手术。我们在感染病例中采用了一期手术，现报告其结果。
患者与方法
我们回顾了 1994 年至 2010 年间治疗的 16 例髋部骨折内固定术后深部伤口感染患者。所有患者均采用一期关节假体植入术治疗。
结果
平均随访 12 年（2-18 年）后，未发现再感染。4 例发生髋关节脱位，其中 3 例需要进一步手术。
结论
对于感染性、机械性失败的髋部骨折内固定术后，采用一期关节成形术是可行的，感染风险较低。
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