کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
4063036 | 1604051 | 2009 | 10 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: Treatment of Infected Total Hip Arthroplasty With a 2-Stage Reimplantation Protocol : Update on “Our Institution's” Experience From 1989 to 2003 Treatment of Infected Total Hip Arthroplasty With a 2-Stage Reimplantation Protocol : Update on “Our Institution's” Experience From 1989 to 2003](/preview/png/4063036.png)
Infection is a devastating complication of total hip arthroplasty (THA). This study aimed to determine whether 2-stage reimplantation is still effective for treating contemporary pathogens, including multidrug-resistant organisms. Records of all cases of infected THAs from 1989 to 2003 were reviewed for data on organism, presence of drug resistance, use of an antibiotic-impregnated spacer, type of reimplant, and success of treatment. Of the 87 protocol patients with 2 years of follow-up, 94.3% (82) underwent reimplantation. The original infection was eradicated in 80 of the 84 hips (78/82 patients), a success rate of 95%. All 21 multidrug-resistant infections were eradicated. There were no major differences in eradication rates when the period was split into 3 sections. These results support previous studies from our institution which demonstrated the effectiveness of a 2-stage reimplantation protocol with a standard 1:8 minimal bactericidal titer for treating infections after THA, including those due to methicillin-resistant organisms.
Journal: The Journal of Arthroplasty - Volume 24, Issue 7, October 2009, Pages 1051–1060