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[感染性全髋关节假体的治疗]

[Treatment of infected total hip endoprostheses].

作者信息

Zilkens K W, Forst R, Casser H R

出版信息

Unfallchirurg. 1989 Jul;92(7):352-7.

PMID:2762822
Abstract

In total hip arthroplasty the most serious complication besides aseptic loosening is infection. The results observed in 42 cases of infected hip arthroplasties are presented. In contrast to early superficial infection, deep infection following total hip replacement is difficult to treat. Depending on the general condition of the patient, a well-defined, adequate treatment is required. In patients at vital risk the provocation of a permanent fistula can be recommended as an alternative method in preference to revision arthroplasty.

摘要

在全髋关节置换术中,除无菌性松动外最严重的并发症是感染。本文介绍了42例感染性髋关节置换术的观察结果。与早期浅表感染不同,全髋关节置换术后的深部感染难以治疗。根据患者的一般情况,需要进行明确、充分的治疗。对于有生命危险的患者,可推荐诱发永久性瘘管作为一种替代方法,优先于翻修置换术。

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