Extended trochanteric osteotomy for 2-stage revision of infected total hip arthroplasty

被引：45
|
作者：
Morshed, S [1 ]
Huffman, GR [1 ]
Ries, MD [1 ]
机构：
[1] Univ Calif San Francisco, Dept Orthopaed Surg, San Francisco, CA 94143 USA
来源：
JOURNAL OF ARTHROPLASTY | 2005年 / 20卷 / 03期
关键词：
extended trochanteric osteotomy; total hip arthroplasty; infection; revision hip; femoral revision;
D O I：
10.1016/j.arth.2004.09.060
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
We evaluate the rate of osteotomy healing, implant stability, and eradication of infection when an extended trochanteric osteotomy, with interval placement of an antibiotic-impregnated cement spacer and delayed osteotomy fixation, is used to treat the chronically infected total hip arthroplasty. Thirteen cases were followed for a minimum of 2 years. All patients had complete healing of the extended trochanteric osteotomy within 6 months. At an average follow-up of 39 months, recurrent infection occurred in 3 (23%) patients. Femoral component subsidence of 5 mm occurred in 2 patients, both of which had recurrent infection. Extended trochanteric osteotomy with interval placement of an articulating antibiotic-impregnated cement spacer and delayed osteotomy fixation permits reliable healing of the osteotomy.
引用
收藏
页码：294 / 301
页数：8
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