摘要
目的总结二期翻修重建治疗人工髋关节置换术后感染患者的经验,为临床应用提供参考。方法1997年2月～2004年11月采用二期翻修共治疗15例(16髋)人工髋关节置换术后感染患者,男9例(10髋),女6例(6髋)。原发疾病:股骨头坏死9例,股骨颈骨折3例,类风湿性关节炎1例(2髋),髋臼发育不良1例,同侧髋膝关节感染治愈后关节强1例。所有患者一期彻底清创,平均间隔6.7个月(6月～21个月)二期重建。术后定期随访。结果均无感染复发,感染控制率为100%。Harris评分平均85.1分(57～98分),较治疗前改善54.9分。优7例,良6例,可1例,差1例,优良率为86.7%。3例患者的3髋(包括双髋感染患者的1髋)在清创术中发生股骨干穿孔,1例患者重建时股骨假体柄穿出股骨干,2例患者的2髋(包括双髋感染患者的1髋)发生脱位。结论二期翻修在感染控制和功能结果方面均较满意,应作为人工髋关节置换术后感染的常用治疗方法。
Objective The aim of this study is to present our experience with two-stage revision in the management of the infected hip arthroplasty. Methods Between February 1997 and November 2004 the replacement of the infected total hip arthroplasty in two stages was performed in 15 patients＇ 16 hips. The mean follow-up after revision was 4 years. Results None of 15 patients had a recurrence of the infection. The mean postoperative Harris Hip Score averaged 85.1 （57-98） points and increased about 54. 9 points than preoperative score. Three cases have perforate of femoral shaft and two cases have dislocation. Conclusion Two-stage reconstruction of the infected hip is useful and effective because of higher rate of eradication of the infection and good postoperative functional result in treating infected THA.
出处
《中华关节外科杂志（电子版）》
CAS
2007年第1期3-6,共4页
Chinese Journal of Joint Surgery(Electronic Edition)
关键词
关节成形术
置换
髋
感染
二期翻修
Arthroplasty, replacement, hip
Infection
Two-stage revision
