Klinik und Poliklinik für Unfallchirurgie, Universitätsklinikum Regensburg, Regensburg, Deutschland.
Z Orthop Unfall. 2023 Dec;161(6):678-682. doi: 10.1055/a-1754-0051. Epub 2022 Apr 4.
We report a case of a patient who was treated in 1999 at the age of 19 years with a proximal femur replacement due to Ewing sarcoma. After several infection-associated exchange procedures, the patient presented with a fistula and chronic infection of a total femur prosthesis in August 2019 at the age of 40 years. Interdisciplinary treatment with a 3-stage exchange procedure and implantation of a silver-coated total femur prosthesis was successfully performed and hip disarticulation could be avoided. After a follow-up of 2 years, the patient showed uneventful wound healing and full weight bearing without crutches.
我们报告了 1 例患者的病例，该患者于 1999 年 19 岁时因尤文肉瘤接受了股骨近端置换术。在经历了几次与感染相关的假体置换手术后，该患者于 2019 年 40 岁时出现了总股骨假体的瘘管和慢性感染。通过多学科的 3 期假体置换手术和银涂层全股骨假体植入治疗，成功避免了髋关节离断。随访 2 年后，患者的伤口愈合良好，无需拐杖即可完全负重。
