抗生素骨水泥和连续灌注治疗关节置换后感染

目的　为人工关节置换术后感染探索新的治疗方法。方法　回顾 68例人工关节置换手术 ,发生术后感染 10例 ,其中全膝关节置换术后感染 4例 ,全髋关节置换术后感染 6例 ,全部采用抗生素骨水泥同时采用抗生素连续灌注。结果　病程在 2周内的 4例用此方法全部保留假体成功 ,其余 6例病程都在 4周以上 ,保留假体失败。结论　关节置换术后感染是严重并发症 ,本方法是一种保留假体的补救措施。

Antibiotic-loaded bone cement and continuous perfusion for infected arthroplasty

ObjectiveTo investigate the treatment for infected arthroplasty.MethodsFrom Sep.1998 to Sep.2003,10 cases of infected arthroplsty were treated by both antibiotic-loaded bone cement and continuous perfusion to maintain the prothesises.ResultsFour cases treated within 2 weeks after infection obtained satisfactory results,while the remaining 6 cases treated 4 weeks after infection failed.ConclusionInfection of arthroplasty is a terrible complication.However,antibiotic-loaded bone cement and continuous perfusion can do something helpful to maintain the prothesises.