Persistent infection associated with residual cement after resection arthroplasty of the hip.

Acta orthopaedica Scandinavica Pub Date : 2004-08-01
Martin Buttaro, Roberto Valentini, Francisco Piccaluga
{"title":"Persistent infection associated with residual cement after resection arthroplasty of the hip.","authors":"Martin Buttaro,&nbsp;Roberto Valentini,&nbsp;Francisco Piccaluga","doi":"","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The danger of residual bone cement after resection of infected prosthetic components is controversial.</p><p><strong>Patients and methods: </strong>We analyzed 10 patients with infected total hip prosthesis who had been treated previously with resection arthroplasty and antibiotics and who had persistent infection with residual cement. In 9 patients, surgical debridement with resection of all the PMMA was performed, and adequate intravenous antibiotics were administered. 1 patient refused surgical treatment, but accepted antibiotics.</p><p><strong>Results: </strong>At an average of 4 (1-18) years of follow-up, 8 patients had no signs or symptoms of recurrent infection. 1 severely immunodeficient patient died 2 years after the removal of residual cement, for reasons other than his hip. The patient who refused surgical treatment continues to have an active sinus 4 years after first consultation.</p><p><strong>Interpretation: </strong>Residual cement may be responsible for chronic infection. At resection arthroplasty, as part of the treatment of an infected hip arthroplasty, all devitalized or foreign material must be removed.</p>","PeriodicalId":75403,"journal":{"name":"Acta orthopaedica Scandinavica","volume":"75 4","pages":"427-9"},"PeriodicalIF":0.0000,"publicationDate":"2004-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Acta orthopaedica Scandinavica","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

Abstract

Background: The danger of residual bone cement after resection of infected prosthetic components is controversial.

Patients and methods: We analyzed 10 patients with infected total hip prosthesis who had been treated previously with resection arthroplasty and antibiotics and who had persistent infection with residual cement. In 9 patients, surgical debridement with resection of all the PMMA was performed, and adequate intravenous antibiotics were administered. 1 patient refused surgical treatment, but accepted antibiotics.

Results: At an average of 4 (1-18) years of follow-up, 8 patients had no signs or symptoms of recurrent infection. 1 severely immunodeficient patient died 2 years after the removal of residual cement, for reasons other than his hip. The patient who refused surgical treatment continues to have an active sinus 4 years after first consultation.

Interpretation: Residual cement may be responsible for chronic infection. At resection arthroplasty, as part of the treatment of an infected hip arthroplasty, all devitalized or foreign material must be removed.

髋关节置换术后残留骨水泥的持续性感染。
背景:感染假体切除后残留骨水泥的危险性存在争议。患者和方法:我们分析了10例感染全髋关节假体的患者,这些患者之前曾接受过关节置换术切除和抗生素治疗,并且残留水泥持续感染。在9例患者中,手术清创切除所有PMMA,并给予足够的静脉抗生素。1例患者拒绝手术治疗,但接受抗生素治疗。结果:在平均4(1-18)年的随访中,8例患者无复发感染的体征或症状。1例严重免疫缺陷患者在清除残留骨水泥2年后死亡,原因与髋关节无关。拒绝手术治疗的患者在首次会诊后4年仍有活动性鼻窦。解释:残留的骨水泥可能导致慢性感染。在关节置换术切除术中,作为感染髋关节置换术治疗的一部分,必须清除所有失活或异物。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信