Treatment of Acinetobacter baumannii infection after total hip arthroplasty with debridement, irrigation, antibiotics and implant retention

Neşet Tang, S. Hakan Başaran, Alkan Bayrak, Levent Arslan
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Abstract

Prosthetic joint infection (PJI) is one of the devastating complications following hip replacement surgeries, hence the high mortality and morbidity rates.[1] Current management of the PJI is commonly a two-staged revision procedure that includes removing current implants, soft tissue debridement, and antibiotic spacer placement. Although the two-staged technique is widely accepted as a reliable approach among hip surgeons, bone stock loss, prolonged immobilization, fractures, blood loss during the intervention, and intensive care unit (ICU) needs are prevalent.[2]
清创、冲洗、抗生素和假体保留治疗全髋关节置换术后鲍曼不动杆菌感染
人工关节感染(PJI)是髋关节置换术后的严重并发症之一,具有很高的死亡率和发病率。[1]目前PJI的治疗通常分为两阶段,包括取出植入物、软组织清创和放置抗生素垫片。尽管两阶段技术作为一种可靠的方法在髋关节外科医生中被广泛接受,但在干预过程中骨质流失、长时间固定、骨折、失血和重症监护病房(ICU)需求普遍存在。[2]
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