"Estudo comparativo do tratamento das artroplastias infectadas do quadril sem e com o uso do espaçador de cimento com antibiótico" / Prospective study of the treatment of chronically infected hip replacements with and without the use of an antibiotic-loaded acrylic cement spacer

AUTOR(ES)
DATA DE PUBLICAÇÃO

2004

RESUMO

We report a prospective study of 61 patients with chronically deep infected hip replacements with actively discharging sinuses, treated with a two-stage revision protocol, with and without a cement spacer impregnated with vancomycin. The average follow-up was two years and eleven months. Twenty-five patients were treated without a spacer and seven had recurrence of infection. Thirty-three patients were treated with a spacer and three had recurrence of infection. The average Harris Hip score increased from 19,3 to 69,0 on the non-spacer patients and from 19,7 to 75,2 on the spacer group. At the end of the study, the success rate was 86,1% for the spacer group and 33,3% for the non-spacer group. The use of the spacer increased the results of the two-stage chronic infected hip replacements

ASSUNTO(S)

control groups bone cements/therapeutic use estudo comparativo artroplastia de quadril/métodos grupos controle prosthesis-related infections/complications prospective studies prosthesis-related infections/surgery vancomycin/therapeutic use estudos prospectivos comparative study vancomicina/uso terapêutico arthroplasty replacement hip/methods cimento para ossos/uso terapêutico infecÇÕes relacionadas À prÓtese/cirurgia infecÇÕes relacionadas À protese/complicações

ACESSO AO ARTIGO

Documentos Relacionados