Camurcu Yalkin, Sofu Hakan, Buyuk Abdul Fettah, Gursu Sarper, Kaygusuz Mehmet Akif, Sahin Vedat
Devrek State Hospital, Zonguldak, Turkey.
Erzincan University Faculty of Medicine, Erzincan, Turkey.
J Arthroplasty. 2015 Sep;30(9):1597-601. doi: 10.1016/j.arth.2015.03.040. Epub 2015 Apr 8.
The main purpose of the present study was to analyze the clinical features, the most common infective agents, and the results of two-stage total hip revision using a teicoplanin-impregnated spacer. Between January 2005 and July 2011, 41 patients were included. At the clinical status analysis, physical examination was performed, Harris hip score was noted, isolated microorganisms were recorded, and the radiographic evaluation was performed. The mean Harris hip score was improved from 38.9 ± 9.6 points to 81.8 ± 5.8 points (P<0.05). Infection was eradicated in 39 hips. Radiographic evidence of stability was noted in 37 acetabular revision components, and all femoral stems. Two-stage revision of the infected primary hip arthroplasty is a time-consuming but a reliable procedure with high rates of success.
本研究的主要目的是分析使用替考拉宁浸渍间隔物进行两阶段全髋关节翻修术的临床特征、最常见的感染病原体以及手术结果。在2005年1月至2011年7月期间，共纳入41例患者。在临床状态分析中，进行了体格检查，记录了Harris髋关节评分，记录了分离出的微生物，并进行了影像学评估。Harris髋关节评分的平均值从38.9±9.6分提高到81.8±5.8分（P<0.05）。39个髋关节的感染得到根除。在37个髋臼翻修组件和所有股骨柄中均发现了稳定的影像学证据。感染性初次髋关节置换术的两阶段翻修术虽然耗时，但却是一种成功率高且可靠的手术。
