Younger A S, Duncan C P, Masri B A, McGraw R W
Department of Orthopaedics, University of British Columbia, Canada.
J Arthroplasty. 1997 Sep;12(6):615-23. doi: 10.1016/s0883-5403(97)90133-9.
Sixty-one patients undergoing a two-stage revision of an infected hip using a prosthesis of antibiotic-loaded acrylic cement were followed for an average of 43 months. Twelve patients were excluded (3 died, 6 had no proven infection, and 2 no second stage). Only 1 patient was lost to follow-up evaluation from those included, for a retrieval rate of 98% for those still living. Of the remaining 48 patients, 3 had further sepsis: Two became reinfected with different organisms and 1 with the same organism, for an infection eradication rate of 94%. The other 45 had no clinical, laboratory, or radiographic evidence of infection. Thirty-seven patients (80%) had a Harris hip score greater than 80 or an improvement of at least 30 points.
61例使用含抗生素骨水泥假体进行感染性髋关节二期翻修的患者接受了平均43个月的随访。12例患者被排除（3例死亡，6例未证实感染，2例未进行二期手术）。纳入的患者中仅有1例失访，健在患者的随访率为98%。其余48例患者中，3例发生了进一步的脓毒症：2例再次感染不同病原体，1例再次感染相同病原体，感染根除率为94%。其他45例患者无感染的临床、实验室或影像学证据。37例患者（80%）Harris髋关节评分大于80分或至少提高了30分。
