Laforgia R, Murphy J C, Redfern T R
Wrightington Hospital, Wigan, England.
J Bone Joint Surg Br. 1988 May;70(3):373-6. doi: 10.1302/0301-620X.70B3.3372555.
We report the results of low friction arthroplasty in 72 old tuberculous hips and 42 hips with old quiescent septic arthritis. Follow-up was for a minimum of two years. Recrudescence of tuberculosis was seen in only one patient, but deep infection occurred in four of the hips with previous septic arthritis. The reasons for this are discussed. It is recommended that patients with old tuberculous hips should have a course of anti-tuberculous drugs before operation, that patients with previous septic infection should have prophylactic antibiotics and antibiotic-loaded cement and that the operation should be performed by an experienced surgeon.
我们报告了72例陈旧性结核性髋关节和42例陈旧性静止性化脓性关节炎髋关节的低摩擦关节成形术结果。随访时间至少为两年。仅1例患者出现结核复发，但4例曾患化脓性关节炎的髋关节发生了深部感染。文中讨论了出现这种情况的原因。建议陈旧性结核性髋关节患者在手术前应接受一个疗程的抗结核药物治疗，曾有化脓性感染的患者应使用预防性抗生素和含抗生素的骨水泥，并且手术应由经验丰富的外科医生进行。
