title: [The infected total prosthesis].
abstract: We define infection as a bacterial inflammation that prolongs the treatment period or impairs the end result. Without a proper definition of terms, statistics are not comparable. A strict differentiation of "septic" and "aseptic" is not possible. The count of contaminated air particles has a relatively low influence on the incidence of infections. Joint puncture with joint irrigation is not only an indispensable procedure in diagnosis; together with systemic antibiotics it can also combat an infection, provided that the prosthesis is still stable. Joint irrigation preceding one-stage revision improves the prognosis and should therefore always be considered. Between 1980 and 1988, out of 42 deep infections 11 were successfully treated by irrigation alone. In 26 cases healing was accomplished by one-stage revision, and there were 5 treatment failures, in only 2 of which Girdlestone resections were involved.
authors.affiliation: Klinik Linde, Biel.
authors.forename: R
authors.initials: R
authors.lastname: Schneider
mesh_terms: D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D001170:Arthritis, Infectious / Q000601:surgery*; D005500:Follow-Up Studies; D006406:Hematoma / Q000601:surgery; D006622:Hip Prosthesis; D006801:Humans; D010019:Osteomyelitis / Q000601:surgery*; D011183:Postoperative Complications / Q000601:surgery*; D011475:Prosthesis Failure; D012086:Reoperation; D013530:Surgical Wound Infection / Q000601:surgery*; D007507:Therapeutic Irrigation
chemical_list: D000900:Anti-Bacterial Agents
vernacular_title: Die infizierte Totalprothese.