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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 207 - 213 (7page)
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초록· 키워드
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Purpose: Infection following total hip arthroplasty is a challenging and devastating complication. In two-stage revision arthroplasty, antibiotic spacers, although efficacious, can be associated with an unacceptable rate of mechanical complications (e.g., fracture, dislocation). This series describes 15 patients with infected total hip prostheses treated with hybrid cement-screw fixation constrained liner antibiotic spacers to enhance stability and minimize mechanical complications. Materials and Methods: All patients with an infected hip prosthesis undergoing two-stage revision arthroplasty at a single academic medical center were identified and screened for inclusion. Clinical and radiographic data including patient demographics and outcome measures were collected and retrospectively analyzed. Results: Two patients died of unrelated causes at an average of 6-week postoperatively. Infections in the remaining thirteen patients (100%) were successfully eradicated; all underwent uncomplicated revision arthroplasty at a mean duration of 99.5 days after the placement of the antibiotic spacer. No dislocations, fractures, or other mechanical failures of any spacer were observed in this series. Conclusion: The hybrid cement-screw fixation technique for constrained liner antibiotic spacers is a reliable and effective treatment method for eradicating prosthetic joint infections without mechanical complications.
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참고문헌 (27)
참고문헌 신청
Mahomed NN / 2003 / Rates and outcomes of primary and revision total hip replacement in the United States medicare population / J Bone Joint Surg Am 85:27~32
Phillips CB / 2003 / Incidence rates of dislocation, pulmonary embolism, and deep infection during the first six months after elective total hip replacement / J Bone Joint Surg Am 85:20~26
Zhan C / 2007 / Incidence and short-term outcomes of primary and revision hip replacement in the United States / J Bone Joint Surg Am 89:526~533
Garvin KL / 1995 / Infection after total hip arthroplasty. Past, present, and future / J Bone Joint Surg Am 77:1576~1588
Blom AW / 2003 / Infection after total hip arthroplasty. The Avon experience / J Bone Joint Surg Br 85:956~959
Phillips CB / 2003 / Incidence rates of dislocation, pulmonary embolism, and deep infection during the first six months after elective total hip replacement / J Bone Joint Surg Am 85:20~26
Zhan C / 2007 / Incidence and short-term outcomes of primary and revision hip replacement in the United States / J Bone Joint Surg Am 89:526~533
Garvin KL / 1995 / Infection after total hip arthroplasty. Past, present, and future / J Bone Joint Surg Am 77:1576~1588
Blom AW / 2003 / Infection after total hip arthroplasty. The Avon experience / J Bone Joint Surg Br 85:956~959
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