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Chronic infections in hip arthroplasties: comparing risk of reinfection following one-stage and two-stage revision: a systematic review and meta-analysis.髋关节置换术后的慢性感染：比较一期和二期翻修后再次感染的风险：系统评价和荟萃分析。
Clin Epidemiol. 2012;4:57-73. doi: 10.2147/CLEP.S29025. Epub 2012 Mar 27.
2
New definition for periprosthetic joint infection.人工关节周围感染的新定义。
J Arthroplasty. 2011 Dec;26(8):1136-8. doi: 10.1016/j.arth.2011.09.026.
3
The value of synovial biopsy, joint aspiration and C-reactive protein in the diagnosis of late peri-prosthetic infection of total knee replacements.滑膜活检、关节穿刺及C反应蛋白在全膝关节置换术后晚期假体周围感染诊断中的价值
J Bone Joint Surg Br. 2008 Jul;90(7):874-8. doi: 10.1302/0301-620X.90B7.20417.
4
Early infection after hip fracture surgery: risk factors, costs and outcome.髋部骨折手术后的早期感染：危险因素、成本及结局
J Bone Joint Surg Br. 2008 Jun;90(6):770-7. doi: 10.1302/0301-620X.90B6.20194.
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Staged arthroplasty as salvage procedure for deep hip infection following intertrochanteric fracture.分期关节成形术作为转子间骨折后深部髋关节感染的挽救性手术。
Int Orthop. 2006 Aug;30(4):228-32. doi: 10.1007/s00264-005-0059-6. Epub 2006 May 4.
6
Deep wound infection after proximal femoral fracture: consequences and costs.股骨近端骨折后的深部伤口感染：后果与成本
J Hosp Infect. 2006 Jun;63(2):133-9. doi: 10.1016/j.jhin.2006.01.015. Epub 2006 Apr 18.
7
Impact of deep infection after hip fracture surgery on function and mortality.
J Hosp Infect. 2006 Jan;62(1):44-9. doi: 10.1016/j.jhin.2005.04.020. Epub 2005 Oct 10.
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Intramedullary nailing for open fractures of the femoral shaft: evaluation of contributing factors on deep infection and nonunion using multivariate analysis.股骨干开放性骨折的髓内钉固定术：运用多变量分析评估深部感染和骨不连的相关因素
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Predictors of functional outcome following intracapsular hip fracture in elderly women. A one-year prospective cohort study.老年女性囊内髋部骨折后功能结局的预测因素。一项为期一年的前瞻性队列研究。
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Long-term results of total hip arthroplasty for femoral neck fracture nonunion.股骨颈骨折不愈合全髋关节置换术的长期疗效
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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.

DOI:10.3109/17453674.2013.810520
PMID:23799345
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3768037/
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。