One-stage revision of infected cemented total hip arthroplasty
A prospective study of a one-stage revision of infected cemented total hip arthroplasty was carried out in 102 consecutive cases using acrylic cement with 0.5 g of gentamicin in each 40 g pack as well as systemic and oral antibiotics. Thirty percent had a sinus tract at some stage before the revisio...
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| Veröffentlicht in: | Clinical orthopaedics and related research 1986-10, Vol.211 (211), p.103-107 |
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| container_title | Clinical orthopaedics and related research |
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| creator | Wroblewski, B M |
| description | A prospective study of a one-stage revision of infected cemented total hip arthroplasty was carried out in 102 consecutive cases using acrylic cement with 0.5 g of gentamicin in each 40 g pack as well as systemic and oral antibiotics. Thirty percent had a sinus tract at some stage before the revision. The most common infecting organism was coagulase-negative Staphylococcus, either as a pure growth or in combination with other organisms. The success rate was 91%, with an average follow-up study of three years and two months. The infection persisted in 9% of the cases. In three cases, infection was correlated with some aspect of the revision technique. The method gave a higher success rate than that obtained without the use of an antibiotic-loaded acrylic cement. Combined systemic and oral use of antibiotics appears to reduce the recurrence rate still further. |
| doi_str_mv | 10.1097/00003086-198610000-00014 |
| format | Article |
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Thirty percent had a sinus tract at some stage before the revision. The most common infecting organism was coagulase-negative Staphylococcus, either as a pure growth or in combination with other organisms. The success rate was 91%, with an average follow-up study of three years and two months. The infection persisted in 9% of the cases. In three cases, infection was correlated with some aspect of the revision technique. The method gave a higher success rate than that obtained without the use of an antibiotic-loaded acrylic cement. 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| ispartof | Clinical orthopaedics and related research, 1986-10, Vol.211 (211), p.103-107 |
| issn | 0009-921X |
| language | eng |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Adult Aged Anti-Bacterial Agents - therapeutic use Bone Cements - therapeutic use Female Hip Prosthesis Humans Male Middle Aged Prospective Studies Reoperation Surgical Wound Infection - drug therapy |
| title | One-stage revision of infected cemented total hip arthroplasty |
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