摘要
[目的]报告本院近年来采用LinkR○感染治疗型临时假体治疗人工髋关节置换术后感染的初步经验,探讨感染二期翻修中占位器的选择。[方法]采用LinkR○感染治疗型临时假体治疗的8例9髋感染病例,术后每隔3个月随访1次,进行Harris评分。[结果]所有病人均获得随访,平均随访时间为13(3~22)个月,髋关节翻修重建病人的Harris评分平均为82.4(65~98)分,较治疗前平均改善48.8分,感染控制率为87.5%。术后功能优良率为60%。[结论]LinkR○感染治疗型临时假体作为一种感染治疗中翻修间期使用的占位器,在感染控制和功能结果方面,能达到其他占位器的水平。在使用这种占位器的同时应用灌注冲洗是一种比较好的方法。
[Objective]To investigate the application of Link infection-treating spacer in the two-stage revision of infection after hip replacement. [Method] A total of 8 patients (9 hips) with deep infection after total hip arthroplasty were treated with the use of Link infection-treating spacer from 2002 to 2004. The outcome was evaluated by using the Harris score system. [Result] All patients were followed up clinically and radiographically for an average of 13 months. No infection reoccurrence was found except for one patient, the infection controlling rate was 87.5%. The mean postoperative Harris Hip Score was 82.4 points, which increased by 48.8 points than that of preoperation. [Conclusion] The present study has showed the safety and efficacy of the use of Link infection-treating spacer. It will be a satisfying method to combine this spacer with continuing irrigation.
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2005年第14期1076-1078,共3页
Orthopedic Journal of China