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二期翻修术治疗高龄人工髋关节置换术后感染的疗效

杨国跃 贾健 李晓辉 张海彬

中国全科医学2012,Vol.15Issue(12):1362-1365,4.
中国全科医学2012,Vol.15Issue(12):1362-1365,4.

二期翻修术治疗高龄人工髋关节置换术后感染的疗效

Clinical Effects of Two-Stage Revision Surgery in Treating Elderly Postoperative Infection after Total Hip Arthroplasty

杨国跃 1贾健 2李晓辉 2张海彬3

作者信息

  • 1. 300170,天津市,天津医科大学三中心临床学院
  • 2. 天津市天津医院
  • 3. 天津医科大学
  • 折叠

摘要

Abstract

Objective To evaluate the curative effect of two - stage revision of the hip joint for the treatment of elderly postoperative infection after hip arthroplasty. Methods A group of 11 patients (11 hips ) above 75 years old with infections after hip arthroplasty admitted in our hospital between January 2001 and June 2008 were studied retrospectively about the clinical manifestation , treatment methods ( removal of prosthesis spacer implanted during debridement in the first stage and revision of hip joint in the second stage ), postoperative treatment and clinical effects. Results In the 9 ~42 months ( average 18. 5 months )' postoperative follow - up, the mean Harris score increased significantly by 37. 0, which was significantly different from preoperative score ( P <0. 05 ) . Infection occurred again in 1 case at the 9th month postoperatively, who was treated with Girdlestone arthro-desis at last. Conclusion Two - stage revision of the hip joint for the treatment of elderly postoperative infection after hip arthroplasty can achieve good results.

关键词

人工髋关节置换术/感染/二期翻修/间隔器

Key words

Total hip arthroplasty/ infection/ two - stage revision/ spacer

分类

医药卫生

引用本文复制引用

杨国跃,贾健,李晓辉,张海彬..二期翻修术治疗高龄人工髋关节置换术后感染的疗效[J].中国全科医学,2012,15(12):1362-1365,4.

中国全科医学

OA北大核心CSCDCSTPCD

1007-9572

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