[Prosthesis loosening caused by infection of the hip joint. Current status and personal procedures in indications for primary and secondary exchange surgery].
More than 50,000 hip-joint endoprostheses are annually inserted in the FRG. Surgery for replacement of prostheses has, consequently, grown in frequency. Reported in this paper are 27 operations for replacement of hip-joint prostheses that had become necessary for infectious problems. Follow-up checks confirmed for 14 of 27 patients sufficient control of infection, ability to walk, and tight position of prosthesis. Replacement should be performed in two surgical sessions, since a short-time Girdlestone situation without extension treatment or immobilisation is properly tolerated by patients with walking capacity, and the benefit of infection control should be the primary consideration.
Dinkelaker
F
F
Abteilung für Unfall- und Wiederherstellungschirurgie, Klinikum Steglitz der Freien Universität Berlin, West.
Voigt
C
C
Rahmanzadeh
R
R
Haimerl
G
G
D000368:Aged; D001170:Arthritis, Infectious / Q000601:surgery*; D003131:Combined Modality Therapy; D005260:Female; D005265:Femoral Neck Fractures / Q000601:surgery; D005500:Follow-Up Studies; D005839:Gentamicins / Q000008:administration & dosage; D006620:Hip Fractures / Q000601:surgery*; D006622:Hip Prosthesis; D006801:Humans; D008297:Male; D008768:Methylmethacrylates / Q000008:administration & dosage; D008875:Middle Aged; D015207:Osteoarthritis, Hip / Q000601:surgery*; D011183:Postoperative Complications / Q000601:surgery*; D011474:Prosthesis Design; D011475:Prosthesis Failure; D012086:Reoperation; D013530:Surgical Wound Infection / Q000601:surgery*
D005839:Gentamicins; D008768:Methylmethacrylates; C030159:gentamicin-polymethylmethacrylate bead
Die septische Prothesenlockerung im Hüftgelenk. Aktueller Stand und eigenes Vorgehen bei der Indikation zur ein- und zweizeitigen Wechseloperation.