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Implantation of resorbable gentamicin sponges in addition to irrigation and debridement in 34 patients with infection complicating total hip arthroplasty.
- Source :
-
Hip International . Mar/Apr2013, Vol. 23 Issue 2, p173-180. 8p. 1 Diagram, 4 Charts, 1 Graph. - Publication Year :
- 2013
-
Abstract
- Abstract: We evaluated a prosthesis-retaining treatment protocol for prosthetic joint infection in patients presenting at a mean of 116 days (range 10-1216 days) after primary arthroplasty. Our regime involved irrigation and debridement followed by implantation of biodegradable gentamicin loaded sponges which do not require removal after implantation. Of 34 patients with a deep infection after total hip arthroplasty, Twenty-five were treated successfully, with a mean follow-up of 35 months. There were no permanent complications. This success rate is comparable to earlier studies. Early initiation of treatment demonstrated a tendency for better results, and late chronic infections had a worse outcome. Because the sponges are degradable, a number of further surgical procedures were avoided. [ABSTRACT FROM AUTHOR]
- Subjects :
- *GENTAMICIN
*ARTIFICIAL joints
*CHI-squared test
*FISHER exact test
*INFECTION
*LONGITUDINAL method
*MATHEMATICAL statistics
*HEALTH outcome assessment
*T-test (Statistics)
*TOTAL hip replacement
*PARAMETERS (Statistics)
*TREATMENT effectiveness
*SURGICAL sponges
*DATA analysis software
*KAPLAN-Meier estimator
*THERAPEUTICS
Subjects
Details
- Language :
- English
- ISSN :
- 11207000
- Volume :
- 23
- Issue :
- 2
- Database :
- Academic Search Index
- Journal :
- Hip International
- Publication Type :
- Academic Journal
- Accession number :
- 89578262
- Full Text :
- https://doi.org/10.5301/HIP.2013.10612