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因感染行翻修全髋关节置换术中的切口负压伤口治疗

INCISIONAL NEGATIVE-PRESSURE WOUND THERAPY IN REVISION TOTAL HIP ARTHROPLASTY DUE TO INFECTION.

作者信息

Miyahara Helder de Souza, Serzedello Felipe Ribeiro, Ejnisman Leandro, Lima Ana Lúcia Lei Munhoz, Vicente José Ricardo Negreiros, Helito Camilo Partezani

机构信息

Universidade de São Paulo, Faculdade de Medicina, Instituto de Ortopedia e Traumatología, Hospital das Clínicas HCFMUSP, Hip Group, São Paulo, SP, Brazil.

Universidade de São Paulo, Faculdade de Medicina, Instituto de Ortopedia e Traumatologia, Hospital das Clínicas HCFMUSP, Hospital Infection Committee, São Paulo, SP, Brazil.

出版信息

Acta Ortop Bras. 2018;26(5):300-304. doi: 10.1590/1413-785220182605196038.

DOI:10.1590/1413-785220182605196038
PMID:30464709
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6220663/
Abstract

OBJECTIVE

To present our institution's experience with negative-pressure wound therapy (NPWT) as an adjuvant in wound healing of patients who have undergone revision total hip arthroplasty (THA) due to septic loosening in the presence of active fistula.

METHODS

We prospectively assessed patients presenting with THA infection, associated with the presence of fistula, treated with a PICO device for NPWT, in combination with the standard treatment for prosthesis infection in our institution. Resolution of the infectious process and healing of the surgical wound without complications were considered an initial favorable outcome.

RESULTS

We assessed 10 patients who used PICO in our department. No complications were identified in association with the use of the NPWT device. The mean follow-up of the patients after use of the device was 12.7 months. Only one patient progressed with fistula reactivation and recurrence of infection.

CONCLUSION

NPWT can be used in wound complications and infection following THA procedures safely and with promising results. Randomized prospective studies should be conducted to confirm its effectiveness.

摘要

目的

介绍我院在负压伤口治疗（NPWT）作为辅助手段用于因感染性松动伴活动性瘘管而接受翻修全髋关节置换术（THA）患者伤口愈合方面的经验。

方法

我们前瞻性评估了因THA感染且伴有瘘管的患者，采用PICO装置进行NPWT治疗，并结合我院假体感染的标准治疗方法。感染过程的消退以及手术伤口无并发症愈合被视为初步良好结果。

结果

我们评估了在我科使用PICO的10例患者。未发现与使用NPWT装置相关的并发症。患者使用该装置后的平均随访时间为12.7个月。仅1例患者出现瘘管再激活和感染复发。

结论

NPWT可安全用于THA术后的伤口并发症和感染，且效果良好。应开展随机前瞻性研究以证实其有效性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5012/6220663/fb4ab394fc9d/1809-4406-aob-26-05-0300-gf07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5012/6220663/b833efd02ce6/1809-4406-aob-26-05-0300-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5012/6220663/88604e618ab3/1809-4406-aob-26-05-0300-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5012/6220663/995bc2e08118/1809-4406-aob-26-05-0300-gf03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5012/6220663/c873d2cff969/1809-4406-aob-26-05-0300-gf04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5012/6220663/2df89b77b01b/1809-4406-aob-26-05-0300-gf05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5012/6220663/53d8b06ad507/1809-4406-aob-26-05-0300-gf06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5012/6220663/fb4ab394fc9d/1809-4406-aob-26-05-0300-gf07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5012/6220663/b833efd02ce6/1809-4406-aob-26-05-0300-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5012/6220663/88604e618ab3/1809-4406-aob-26-05-0300-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5012/6220663/995bc2e08118/1809-4406-aob-26-05-0300-gf03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5012/6220663/c873d2cff969/1809-4406-aob-26-05-0300-gf04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5012/6220663/2df89b77b01b/1809-4406-aob-26-05-0300-gf05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5012/6220663/53d8b06ad507/1809-4406-aob-26-05-0300-gf06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5012/6220663/fb4ab394fc9d/1809-4406-aob-26-05-0300-gf07.jpg

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2
Social profile and cost analysis of deep infection following total hip replacement surgery.全髋关节置换术后深部感染的社会概况及成本分析
Rev Bras Ortop. 2017 Oct 23;52(6):720-724. doi: 10.1016/j.rboe.2017.10.003. eCollection 2017 Nov-Dec.
3
Closed incision negative pressure therapy decreases complications after periprosthetic fracture surgery around the hip and knee.
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Injury. 2018 Feb;49(2):386-391. doi: 10.1016/j.injury.2017.11.010. Epub 2017 Nov 14.
4
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6
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