摘要
人工膝关节置换术后深部感染的处理非常棘手，作者采用一期人工膝关节再置换术治疗８例患者，其中包括晚期感染７例，占８７．５％。平均随访２０．１个月，患者疼痛症状明显缓解，无１例感染复发，但功能恢复欠佳。作者认为：（１）一期再置换术是治疗深部感染的一种可选择方法；（２）使用抗生素骨水泥固定，链霉素粉剂埋入关节腔及软组织内，有助于减少术后感染复发；（３）深部感染明确后，应尽早行一期再置换，以减少骨组织的进一步破坏；（４）一期再置换术的长期疗效尚需进一步观察和随访。
One stage reimplantation for the salvage of infected total knee arthroplasty in 8 patients was reviewed at an average follow up of 20.1 months late infections occurred in 7 (87.5%) patients.The timing of the diagnosis of the infection after knee arthroplasty was of the prosthesis averaged 11.5 months.No one had recurrent infection and pain was relieved significantly in all patients .Our results suggest that one stage reimplantation is a reasonably reliable procedure for the management of an infected prosthesis.The use of Gentamicin impregnated bone cement and the Streptomicin bead mixed with Gentamicin improve the success of treating or preventing recurrence of the infection.Early one stage reimplantation was needed as soon as the deep infection was defined in order to decrease more destruction of the bone.
出处
《中华外科杂志》
CAS
CSCD
北大核心
1997年第8期456-458,共3页
Chinese Journal of Surgery
