Babst R, Jenny H, Morscher E
Orthopädische Universitätsklinik, Felix-Platter-Spital, Basel.
Orthopade. 1989 Nov;18(6):517-26.
The treatment of 62 cases of infected total joint arthroplasty of the hip is reported. The treatment regimen for each patient was dependent on the general medical condition of the patient and the clinical signs of infection, as well as the type of bacteria, the bony anchorage of the prosthesis and the bone stock of femur and acetabulum. Surgical treatment was one of the following: treatment of the infection leaving the prosthesis in situ; one-stage or two-stage revision arthroplasty; or excision arthroplasty (Girdlestone procedure). There were 11 early and 51 late infections. The commonest bacterium isolated was Staphylococcus epidermidis (30%). The primary success rate of revision of the shaft was somewhat better with cemented than with uncemented prostheses. The overall success rates for cemented and for uncemented shafts were similar (91.5% versus 90%).
本文报道了62例髋关节感染性全关节置换术的治疗情况。每位患者的治疗方案取决于患者的一般身体状况、感染的临床体征、细菌类型、假体的骨固定情况以及股骨和髋臼的骨量。手术治疗方式如下：保留假体原位治疗感染；一期或二期翻修关节成形术；或切除关节成形术（吉尔德斯通手术）。其中有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%）。骨水泥型假体柄翻修的初步成功率略高于非骨水泥型假体柄。骨水泥型和非骨水泥型假体柄的总体成功率相似（分别为91.5%和90%）。
