Principles for the management of deep infections following total hip replacement.

Principles for the management of deep infections following total hip replacement. Research Abstract Details 

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Principles for the management of deep infections following total hip replacement. Abstract Text:

I Babiak,A ,

Current methods are presented for the management of deep infection of total hip replacements. The goal of treatment is to maintain the improvement of function gained by hip replacement. In cases without loosening, precise surgical debridement without removal of implants is indicated. Management in septic loosening depends on the general medical condition of the patient, the local bone stock, and the spread of infection. Satisfactory bone stock allows for reimplantation of a new prosthesis, prefably using antibiotic-loaded cement, after scrupulous removal of all potentially infected tissues and particles. The reimplantationcan be done as a one- or two-stage operation. In the two0stage procedure, antibiotic-loaded cement spacer can be used, but both two- and one-stage reimplantation have similar results as regards infection control. Definitive removal of the prosthesis is indicated in patients whose general medical condition is poor, who have no usable bone stock, or who present with a persistent Gram-negative bacterial infection. This procedure is not fully effective, however (infection brought under control in 83% of patients), although it does not cause significant negative effect for the functional status of this group of patients.

Principles for the management of deep infections following total hip replacement. Publishing Authors By Initials

I Babiak,A ,

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Principles for the management of deep infections following total hip replacement. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Ortopedia, traumatologia, rehabilitacja

VOLUME: 3

Page Numbers: 60-3

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ISSN: 1509-3492

DAY: 30

MONTH: Mar

YEAR: 2001

Principles for the management of deep infections following total hip replacement. Information

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LANGUAGE: eng

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AFFILIATION: Katedra i Klinika Ortopedii i Traumatologii Narzadu Ruchu, I Wydzia? Lekarski, Akademia Medyczna, Warszawa.

Country: Poland

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MEDLINETA: Ortop Traumatol Rehabil

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