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间歇性负压伤口灌洗疗法治疗人工髋关节周围持续性感染:两例报告

Intermittent negative pressure wound therapy with instillation for the treatment of persistent periprosthetic hip infections: a report of two cases.

作者信息

Söylemez Mehmet Salih, Özkan Korhan, Kılıç Bülent, Erinç Samet

机构信息

Department of Orthopaedics and Traumatology, Bingöl State Hospital, Bingöl, Turkey.

Department of Orthopaedics and Traumatology, Faculty of Medicine, Medeniyet University, Istanbul, Turkey.

出版信息

Ther Clin Risk Manag. 2016 Feb 10;12:161-6. doi: 10.2147/TCRM.S97930. eCollection 2016.

Abstract

Intermittent negative pressure wound therapy with instillation (NPWTi) is starting to be used successfully to treat early periprosthetic infections of endoprostheses. However, few articles have reported the outcome of treatment with intermittent NPWTi for late persistent periprosthetic infections of the hip. In this study, we report two cases who underwent several rounds of radical wound debridement for the treatment of a late persistent periprosthetic infection of the hip. Intermittent NPWTi was used in both cases. Patients were treated successfully and there was no recurrence after 3 and 1 years of follow-up, respectively.

摘要

带灌洗的间歇性负压伤口治疗(NPWTi)已开始成功用于治疗人工关节早期假体周围感染。然而,很少有文章报道间歇性NPWTi治疗髋部晚期持续性假体周围感染的疗效。在本研究中,我们报告了两例因髋部晚期持续性假体周围感染接受了多轮彻底伤口清创术的病例。两例均采用间歇性NPWTi治疗。患者均成功治愈,分别随访3年和1年后均无复发。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a3a/4754096/aa5d0e30d460/tcrm-12-161Fig1.jpg

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