抗生素骨水泥和连续灌注治疗关节置换后感染

Antibiotic-loaded bone cement and continuous perfusion for infected arthroplasty

目的 为人工关节置换术后感染探索新的治疗方法。方法 回顾 68例人工关节置换手术 ,发生术后感染 10例 ,其中全膝关节置换术后感染 4例 ,全髋关节置换术后感染 6例 ,全部采用抗生素骨水泥同时采用抗生素连续灌注。结果 病程在 2周内的 4例用此方法全部保留假体成功 ,其余 6例病程都在 4周以上 ,保留假体失败。结论 关节置换术后感染是严重并发症 ,本方法是一种保留假体的补救措施。

ObjectiveTo investigate the treatment for infected arthroplasty.MethodsFrom Sep.1998 to Sep.2003,10 cases of infected arthroplsty were treated by both antibiotic-loaded bone cement and continuous perfusion to maintain the prothesises.ResultsFour cases treated within 2 weeks after infection obtained satisfactory results,while the remaining 6 cases treated 4 weeks after infection failed.ConclusionInfection of arthroplasty is a terrible complication.However,antibiotic-loaded bone cement and continuous perfusion can do something helpful to maintain the prothesises.