Hunter G, Dandy D
J Bone Joint Surg Br. 1977 Aug;59(3):293-7. doi: 10.1302/0301-620X.59B3.893507.
Deep infection, the most serious local complication of total hip replacement, prompted a study of the records of 135 patients (137 hips) thus afflicted in a nationwide survey of Canada. Particular attention has been paid to the natural history of the infection, and the problems of diagnosis are described. Twenty-one patients died after the insertion, or removal, of the prosthesis, and of the survivors of the original 135 patients only eighteen have been able to retain the prosthesis without further problems with the wound. The remaining patients had the prosthesis removed, and most dry wounds. Certain suggestions are made on management. The advice that a second total hip prosthesis should be inserted after a deep infection of the first implant is not supported.
深部感染是全髋关节置换最严重的局部并发症，为此在加拿大全国性调查中对135例（137髋）患有该并发症的患者记录进行了研究。特别关注了感染的自然病程，并描述了诊断问题。21例患者在假体植入或取出后死亡，在最初的135例患者的幸存者中，只有18例能够保留假体且伤口无进一步问题。其余患者的假体被取出，多数伤口愈合。文中就处理提出了一些建议。首次植入后发生深部感染再植入第二个全髋关节假体的建议未得到支持。
