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.
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.
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。
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