George David A, Konan Sujith, Haddad Fares S
Department of Trauma and Orthopaedic Surgery, University College London Hospitals, London, UK.
Department of Trauma and Orthopaedic Surgery, University College London Hospitals, London, UK; The Princess Grace Hospital, London, UK; Institute of Sport, Exercise and Health, University College London, London, UK.
J Arthroplasty. 2015 Dec;30(12):2264-70. doi: 10.1016/j.arth.2015.05.047. Epub 2015 May 30.
Periprosthetic joint infections following hip and knee arthroplasty are challenging complications for Orthopaedic surgeons to manage. The single-stage exchange procedure is becoming increasingly popular with promising results. At our Institute we have demonstrated favourable or similar outcomes compared to the 'gold-standard' two-stage exchange, and other published single-stage results. The aim of this study is to describe the patient selection criteria and perioperative steps in a single-stage exchange for hip and knee arthroplasty undertaken at our Institute. The outlined protocol can be performed using standard debridement, attention to detail and well-recognised reconstructive techniques.
髋膝关节置换术后的假体周围感染是骨科医生难以处理的并发症。单阶段翻修手术越来越受欢迎，效果令人期待。在我们研究所，与“金标准”的两阶段翻修以及其他已发表的单阶段结果相比，我们已证明有良好或相似的结果。本研究的目的是描述我们研究所进行的髋膝关节置换单阶段翻修的患者选择标准和围手术期步骤。所概述的方案可通过标准清创、注重细节和公认的重建技术来实施。
