[Infection after implant arthroplasty].
From 1982 to 1990, ten patients (twelve joints) who developed deep infection after total joint replacement were analysed. An average follow-up period after the surgical management was two years and eight months (range, one year and seven months to three years and ten months). Synovectomy and closed irrigation were carried out in seven of ten patients without waiting the results of cultures. In six of seven patients, the infection was successfully eradicated without removal of the components. Antibiotics were administered orally for two years after the closed irrigation. There was no recurrence. In four of ten patients, the components had to be removed. In one of four patients, synovectomy and closed irrigation failed, and arthrodesis was carried out. In three patients, loosening of the components were radiographically noticed.
Itonaga
I
I
Department of Orthopaedic Surgery, Oita Medical University.
Torisu
T
T
Nakamura
M
M
Masumi
S
S
D000368:Aged; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D001424:Bacterial Infections / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007595:Joint Prosthesis / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D016459:Prosthesis-Related Infections / Q000628:therapy*; D000074402:Synovectomy; D007507:Therapeutic Irrigation
D000900:Anti-Bacterial Agents