التفاصيل البيبلوغرافية
| العنوان: |
One-Stage Exchange Revision Arthroplasty for the Treatment of Prosthetic Joint Infection: Rational and Technique. |
| المؤلفون: |
Mock, Brady K., Fehring, Thomas K. |
| المصدر: |
Operative Techniques in Orthopaedics; Sep2019, Vol. 29 Issue 3, pN.PAG-N.PAG, 1p |
| مستخلص: |
Prosthetic joint infection is devastating complication of total joint arthroplasty and represents a significant burden both financially and to the patient's overall health. Challenges are in part due to difficulty in eradicating the disease and that there is no census in the most economical and effective techniques for treatment. In the United States the treatment standard is a 2-stage exchange in which the components are removed and an antibiotic spacer is placed, several weeks of intravenous antibiotics, and then a second procedure to remove the antibiotic spacer and place the final components. A 1-stage exchange removes the infected components and places new components in the same surgical setting. The success rate are similar between the 2 options but to date no large scale randomized study has been performed, however a 1-stage exchange limits the total number operations, decreases the morbidity associated in between stages, and is associated with a decrease in overall cost. Surgeons treating prosthetic joint infections should consider this technique. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
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