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本文引用的文献

1
Diagnosis of periprosthetic infection.人工关节周围感染的诊断
J Bone Joint Surg Am. 2006 Apr;88(4):869-82. doi: 10.2106/JBJS.E.01149.
2
Long-term suppression of infection in total joint arthroplasty.全关节置换术中感染的长期抑制
Clin Orthop Relat Res. 2003 Sep(414):55-60. doi: 10.1097/01.blo.0000087321.60612.cf.
3
Articulating versus static spacers in revision total knee arthroplasty for sepsis. The Ranawat Award.关节式与静态间隔物在脓毒症翻修全膝关节置换术中的应用。拉纳瓦特奖。
Clin Orthop Relat Res. 2000 Nov(380):9-16. doi: 10.1097/00003086-200011000-00003.
4
One-stage revision surgery of the infected hip. A minimum 10-year followup study.
Clin Orthop Relat Res. 1999 Dec(369):139-43. doi: 10.1097/00003086-199912000-00014.
5
Prospective analysis of preoperative and intraoperative investigations for the diagnosis of infection at the sites of two hundred and two revision total hip arthroplasties.对202例髋关节翻修术中感染部位诊断的术前和术中检查进行前瞻性分析。
J Bone Joint Surg Am. 1999 May;81(5):672-83. doi: 10.2106/00004623-199905000-00008.
6
Prospective evaluation of criteria for microbiological diagnosis of prosthetic-joint infection at revision arthroplasty. The OSIRIS Collaborative Study Group.人工关节翻修术时假体关节感染微生物学诊断标准的前瞻性评估。奥西里斯协作研究组。
J Clin Microbiol. 1998 Oct;36(10):2932-9. doi: 10.1128/JCM.36.10.2932-2939.1998.
7
The outcome of two-stage arthroplasty using a custom-made interval spacer to treat the infected hip.使用定制间隔器进行两阶段关节成形术治疗感染性髋关节的结果。
J Arthroplasty. 1997 Sep;12(6):615-23. doi: 10.1016/s0883-5403(97)90133-9.
8
Infection after total hip arthroplasty. A study of the treatment of one hundred and six infections.全髋关节置换术后感染。对106例感染病例的治疗研究。
J Bone Joint Surg Am. 1996 Apr;78(4):512-23. doi: 10.2106/00004623-199604000-00005.
9
Palacos gentamicin for the treatment of deep periprosthetic hip infections.帕拉科斯庆大霉素用于治疗人工髋关节周围深部感染。
Clin Orthop Relat Res. 1994 Jan(298):97-105.
10
Antibiotic-loaded acrylic cement: current concepts.
Clin Orthop Relat Res. 1984 Nov(190):96-108.

采用功能性临时假体的两阶段关节置换术治疗髋关节感染性关节置换和化脓性关节炎。

Two-stage arthroplasty using functional temporary prosthesis to treat infected arthroplasty and septic arthritis of the hip.

作者信息

El-Ganzoury Ibrahim, Eid Ahmed Salem

机构信息

Assistant Professor, Department of Orthopaedic Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt.

Lecturer, Department of Orthopaedic Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt ; Department of Orthopaedic Surgery, Faculty of Medicine, El-Demrdash University Hospital Ramses St, Cairo, Egypt.

出版信息

J Orthop. 2014 May 28;12(Suppl 1):S86-93. doi: 10.1016/j.jor.2014.04.006. eCollection 2015 Oct.

DOI:10.1016/j.jor.2014.04.006
PMID:26719616
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4674500/
Abstract

AIMS

This study introduced a modified technique in two-stage revision arthroplasty to insert functional spacer using modular components coated with antibiotic-impregnated polymethylmethacrylate.

METHODS

Since June 2006, we used the construct in twenty-three consecutive patients (17 with infected arthroplasty, and 6 with septic arthritis of the hip).

RESULTS

Mean follow-up was 48 months (range 30-84 months). Two patients were excluded (no second stage), two patients had persistent infection, 19 patients received successful re-implantation at the second-stage.

CONCLUSION

The technique provides a construct that can be used safely and successfully as a functional, spacer in two-stage revision arthroplasty.

摘要

目的

本研究介绍了一种在两阶段翻修关节成形术中的改良技术，即使用涂有抗生素浸渍聚甲基丙烯酸甲酯的模块化组件插入功能性间隔物。

方法

自2006年6月起，我们在连续23例患者（17例感染性关节成形术，6例髋关节化脓性关节炎）中使用了该结构。

结果

平均随访48个月（范围30 - 84个月）。两名患者被排除（未进行第二阶段手术），两名患者持续感染，19例患者在第二阶段成功进行了再植入。

结论

该技术提供了一种可安全、成功地用作两阶段翻修关节成形术中功能性间隔物的结构。