Division of Orthopaedic Trauma, Department of Orthopaedic Surgery, Grady Medical Center, Atlanta, GA.
Division of Orthopaedic Trauma and Complex Adult Reconstruction, Department of Orthopaedic Surgery, Jersey City Medical Center, RWJ Barnabas Health, Jersey City, NJ.
J Orthop Trauma. 2019 Sep;33 Suppl 6:S21-S24. doi: 10.1097/BOT.0000000000001570.
Prosthetic joint infection is a common cause of hip revision surgery, typically managed with a staged protocol and an antibiotic cement spacer. Patients being treated for prosthetic joint infection are at risk of fracture below the level of the spacer. Fracture in the setting of periprosthetic infection is a complex problem that requires the treating surgeon to use multiple techniques to achieve a successful outcome. The purpose of this case report is to highlight surgical strategies to successfully manage periprosthetic fractures complicated by infection.
人工关节感染是髋关节翻修手术的常见原因,通常采用分期方案和抗生素骨水泥间隔器进行治疗。接受人工关节感染治疗的患者存在间隔器下方骨折的风险。在假体周围感染的情况下发生骨折是一个复杂的问题,需要治疗外科医生使用多种技术来获得成功的结果。本病例报告的目的是强调成功治疗感染合并假体周围骨折的手术策略。