Surgical debridement with muscle flap transposition and systemic teicoplanin therapy for infected hip arthroplasty.
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.
d'Ettorre
Gabriella
G
Department of Tropical and Infectious Diseases, University of Rome "Sapienza", Rome, Italy.
Marchetti
Francesco
F
Ceccarelli
Giancarlo
G
Gizzi
Francesca
F
Tierno
Francesca
F
Falcone
Marco
M
Venditti
Mario
M
Carlesimo
Bruno
B
Vullo
Vincenzo
V
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*
D000900:Anti-Bacterial Agents; D017334:Teicoplanin