Department of Orthopedics and Traumatology, Fondazione Policlinico Universitario A. Gemelli IRCSS, Università Cattolica Del Sacro Cuore, Largo Agostino Gemelli 8, 06168, Roma, Italy.
BMC Musculoskelet Disord. 2021 Dec 23;22(Suppl 2):1059. doi: 10.1186/s12891-021-04945-8.
Deep periprosthetic infection after total hip arthroplasty (THA) is a serious and challenging complication for the orthopedic surgeon. Muscular flaps may represent a valid management option for the treatment of this condition. We present a systematic literature review about the use of muscular flaps for the treatment of hip prosthetic joint infection.
The review is reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Seventy-seven articles, out of 279 titles, were considered eligible for the full-text analysis. Finally 15 studies that met inclusion criteria were included in this review.
Overall, 210 patients (49% males, 48.6% females and 2.4% not reported) suffering from THA infection treated with muscular flaps were collected. The mean age was 69.6 years. Mean follow-up, reported in all studies, was 3.3 years. The results presented by the different authors, highlight the effectiveness of muscular flaps for the treatment of periprosthetic infection, in terms of function, limb salvage, prevention of the recurrences, cost-effectiveness, and quality of life postoperatively.
Muscle flaps provide an excellent management option for patients with persistent infection after total hip arthroplasty.
全髋关节置换术后深部假体周围感染是骨科医生面临的严重且具有挑战性的并发症。肌肉皮瓣可能是治疗这种疾病的有效方法。我们对肌肉皮瓣治疗髋关节假体关节感染的应用进行了系统的文献回顾。
本综述按照系统评价和荟萃分析的首选报告项目（PRISMA）指南进行报告。在 279 篇标题中，有 77 篇文章被认为符合全文分析的标准。最终，有 15 项符合纳入标准的研究被纳入本综述。
总体而言，共收集了 210 例（49%为男性，48.6%为女性，2.4%未报告）接受肌肉皮瓣治疗的全髋关节置换术后感染患者。平均年龄为 69.6 岁。所有研究均报告了平均随访 3.3 年。不同作者报告的结果强调了肌肉皮瓣在治疗假体周围感染方面的有效性，包括功能、肢体挽救、预防复发、成本效益和术后生活质量。
对于全髋关节置换术后持续感染的患者，肌肉皮瓣提供了一种极好的治疗选择。
