Fukuoka Natsuko, Kaji Yoshio, Morita Shin, Yamagami Yoshiki, Nishimura Hideki, Yamamoto Tetsuji
Department of Orthopedic Surgery, Kagawa University, Kagawa, Japan.
Prog Rehabil Med. 2021 Sep 2;6:20210035. doi: 10.2490/prm.20210035. eCollection 2021.
: Fitting a femoral prosthesis in a transfemoral amputee with a very short amputation stump is challenging. This case report aimed to introduce an effective and simple method that can preserve the residual limb length by the implantation of antibiotic-loaded bone cement for the treatment of a patient with femoral periprosthetic infection.
: A 30-year-old man who had osteosarcoma at the age of 13 years underwent transfemoral amputation 17 years after the initial surgery because of periprosthetic infection. Antibiotic-loaded bone cement was inserted into the infected bone marrow to control the residual infection and to preserve the stump length. The infection resolved, and the patient regained functional gait using a femoral prosthesis.
: This case report demonstrates the usefulness of antibiotic-loaded cement in preserving the length of residual limbs and for femoral prosthesis fitting after periprosthetic infection. Maintaining the residual bone length is crucial in amputees for the functional fitting of femoral prostheses. The use of antibiotic-loaded bone cement has potential as a simple and useful surgical option in amputees after periprosthetic infection.
在股骨截肢残端非常短的经股骨截肢患者中安装股骨假体具有挑战性。本病例报告旨在介绍一种有效且简单的方法，即通过植入载抗生素骨水泥来保留残肢长度，以治疗一名股骨假体周围感染患者。
一名30岁男性，13岁时患骨肉瘤，初次手术后17年因假体周围感染接受了经股骨截肢。将载抗生素骨水泥植入感染的骨髓腔以控制残余感染并保留残端长度。感染得到控制，患者使用股骨假体恢复了功能性步态。
本病例报告证明了载抗生素骨水泥在保留残肢长度以及假体周围感染后安装股骨假体方面的有效性。对于股骨假体的功能性安装，保持残余骨长度对截肢患者至关重要。载抗生素骨水泥的使用作为假体周围感染后截肢患者一种简单且有用的手术选择具有潜力。
