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人工全髋关节翻修术治疗假体置换术后感染
引用本文:郭亭,赵建宁,王与荣,吴苏稼,周利武,曾晓峰,包倪荣,王蔚雯. 人工全髋关节翻修术治疗假体置换术后感染[J]. 中国矫形外科杂志, 2003, 0(Z2)
作者姓名:郭亭  赵建宁  王与荣  吴苏稼  周利武  曾晓峰  包倪荣  王蔚雯
作者单位:南京军区总医院军区骨科中心,南京军区总医院军区骨科中心,南京军区总医院军区骨科中心,南京军区总医院军区骨科中心,南京军区总医院军区骨科中心,南京军区总医院军区骨科中心,南京军区总医院军区骨科中心,南京军区总医院军区骨科中心 南京 210002,南京 210002,南京 210002,南京 210002,南京 210002,南京 210002,南京 210002,南京 210002
摘    要:目的:探讨全髋关节置换术后假体周围感染的治疗方法。方法:1998年1月~2002年6月共收治7例全髋关节置换术后感染患者。采用一期全髋关节翻修术3例,二期全髋关节翻修术4例,术后平均随访14个月。结果:患者髋关节评分平均提高37.6分(Harris评分),经随访无一例感染患者复发。结论:人工全髋关节置换术后感染患者经过彻底清创和使用有效抗生素治疗后,可一期或二期进行全髋关节翻修术,治疗假体周围感染,改善患肢关节功能。

关 键 词:全髋关节翻修术  假体  感染  治疗

Treatment of Postprosthesis Infection by Revision Total Hip Arthroplasty
GUO Ting,ZHAO Jian-ning,WANG Yu-rang,et al.. Treatment of Postprosthesis Infection by Revision Total Hip Arthroplasty[J]. The Orthopedic Journal of China, 2003, 0(Z2)
Authors:GUO Ting  ZHAO Jian-ning  WANG Yu-rang  et al.
Affiliation:GUO Ting,ZHAO Jian-ning,WANG Yu-rang,et al. Department of Orthopaedics,Gerneral Hospital of Nanjing Military Command,Nanjing 210002
Abstract:Objective: To evaluate efficacy of revision arthroplasty in dealing with postprosthetic infection after total hip arthroplasty (THA). Methods: Seven cases of postprosthetic infection underwent revision arthroplasty from 1998 to 2002 in the hospital, 3 out of which were two-stage revision. The follow-up duration averaged to 14 months. Results: The patients achieved 37. 6 in average Harris score and no recurrence was found in follow-up. Conclusion: One-stage or two-stage total hip revision is useful in dealing with postprothetic infection on the basis of thorough debridement and administration of sensitive antibodies.
Keywords:Revision Total hip arthroplasty  Prosthesis  Infection  Treatment  
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