title: Surgical debridement with muscle flap transposition and systemic teicoplanin therapy for infected hip arthroplasty.
abstract: The use of muscle flaps is now accepted as a method for coverage of infected wounds. To obtain complete eradication of infection following hip arthroplasty surgery is combined with antibiotic treatment. Aggressive debridment to remove devitalized tissue followed by vastus lateralis muscle flap transposition may improve the likelihood of success in certain challenging cases. We report two cases of prosthetic joint infection treated by aggressive debridment and vastus lateralis transposition with associated appropriate antibiotic therapy. Complete recovery of functional status was observed.
authors.affiliation: Department of Tropical and Infectious Diseases, University of Rome "Sapienza", Rome, Italy.
authors.forename: Gabriella
authors.initials: G
authors.lastname: d'Ettorre
authors.forename: Francesco
authors.initials: F
authors.lastname: Marchetti
authors.forename: Giancarlo
authors.initials: G
authors.lastname: Ceccarelli
authors.forename: Francesca
authors.initials: F
authors.lastname: Gizzi
authors.forename: Francesca
authors.initials: F
authors.lastname: Tierno
authors.forename: Marco
authors.initials: M
authors.lastname: Falcone
authors.forename: Mario
authors.initials: M
authors.lastname: Venditti
authors.forename: Bruno
authors.initials: B
authors.lastname: Carlesimo
authors.forename: Vincenzo
authors.initials: V
authors.lastname: Vullo
mesh_terms: D000900:Anti-Bacterial Agents / Q000008:administration & dosage*; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects*; D003646:Debridement; D005260:Female; D006801:Humans; D007262:Infusions, Intravenous; D055624:Methicillin-Resistant Staphylococcus aureus / Q000302:isolation & purification; D008875:Middle Aged; D016459:Prosthesis-Related Infections / Q000188:drug therapy* / Q000601:surgery*; D013203:Staphylococcal Infections / Q000188:drug therapy / Q000209:etiology; D013524:Surgical Flaps; D017334:Teicoplanin / Q000008:administration & dosage*
chemical_list: D000900:Anti-Bacterial Agents; D017334:Teicoplanin