[Conduct and tactics of infections after hip arthroplasty].
The number of arthroplasty surgeries is growing globally, bringing about an increase in the absolute number of infected complications. No precise statistics of complications are available in Poland. The present paper discusses the main causes of infected complications of hip arthroplasty. The object is to present both pre-surgery prophylaxis and the treatment of an infected complication adjacent to the endoprosthesis. Infections are commonly divided after Coventry and Fitzgerald. The most common pathogens in infected endoprostheses include Staphylococcus aureus and Staphylococcus epidermidis, while the treatment of infections with the Gram-negative flora poses many problems. Discussed within treatment of infected complications of hip arthroplasty has been one- and two-stage surgical treatment with temporary implants--"spacers"--combines with prolonged antibiotic therapy. Important within the post-surgery treatment is prolonged monitoring of the infective agents (CRP and SR).
Białecki
Jerzy
J
Klinika Ortopedii, Centrum Medyczne Kształcenia Podyplomowego SPSK. klin_ortop.a.grucy@wp.pl
Marczyński
Wojciech
W
Milecki
Marcin
M
Obrebski
Marcin
M
Szyszka
Michał
M
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects* / Q000379:methods; D006090:Gram-Negative Bacteria / Q000302:isolation & purification; D006094:Gram-Positive Bacteria / Q000302:isolation & purification; D006622:Hip Prosthesis / Q000009:adverse effects*; D006801:Humans; D011044:Poland; D011475:Prosthesis Failure; D016459:Prosthesis-Related Infections / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery / Q000628:therapy*; D012086:Reoperation; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents