Holzer G, Windhager R, Kotz R
University Clinic for Orthopaedics, Vienna, Austria.
J Bone Joint Surg Br. 1997 Jan;79(1):31-5. doi: 10.1302/0301-620x.79b1.7139.
We have reviewed the results of one-stage revision surgery in 18 patients for infection of megaprostheses implanted after the resection of malignant bone and soft-tissue tumours. At a mean follow-up of 52.0 +/- 35.0 months (18 to 135) infection was eliminated in 14 of the 18 patients. The infection-free patients showed no abnormal tests for inflammation and had a mean Enneking score of 20.6 +/- 5.0 points (maximum 30 points). We suggest that one-stage revision without exchange of the anchorage parts is justified in patients with megaprostheses infected by antibiotic-sensitive micro-organisms.
我们回顾了18例恶性骨与软组织肿瘤切除术后植入大假体发生感染患者的一期翻修手术结果。平均随访52.0±35.0个月（18至135个月），18例患者中有14例感染得到消除。未发生感染的患者炎症检查无异常，Enneking评分平均为20.6±5.0分（满分30分）。我们认为，对于由对抗生素敏感的微生物感染大假体的患者，不更换固定部件的一期翻修是合理的。
