Two-Stage Revision for Prosthetic Joint Infection: Outcome and Role of Reimplantation Microbiology in 107 Cases

被引：58
作者：
Puhto, Ari-Pekka [1 ]
Puhto, Teija M. [2 ]
Niinimaki, Tuukka T. [1 ]
Leppilahti, Juhana I. [1 ]
Syrjala, Hannu P. T. [2 ]
机构：
[1] Oulu Univ Hosp, Dept Operat Care, Div Orthopaed & Trauma Surg, Oys 90029, Finland
[2] Oulu Univ Hosp, Dept Operat Care, Dept Infect Control, Oys 90029, Finland
来源：
JOURNAL OF ARTHROPLASTY | 2014年 / 29卷 / 06期
关键词：
prosthetic joint infection; two-stage revision; antibiotic treatment; arthroplasty; reimplantation microbiology; TOTAL HIP; DEEP INFECTION; KNEE INFECTION; RISK-FACTORS; ARTHROPLASTY; RECONSTRUCTION; REPLACEMENT; MANAGEMENT; DIAGNOSIS; EXCHANGE;
D O I：
10.1016/j.arth.2013.12.027
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
Two-stage revision is widely used for the treatment of prosthetic joint infections. However, the duration of antibiotic treatment between stages and role of reimplantation microbiology are controversial. The purpose of this study was to evaluate the outcome and influence of the reimplantation microbiology of two-staged revisions with 6 weeks of antibiotic treatment. We retrospectively reviewed 107 patients treated with two-stage revision between 2001 and 2009. The overall treatment success rate was 94.4%. The reimplantation cultures were positive in 5/97 (5.2%) cases, and only one of them failed. Therefore, we achieved excellent results with a 6-week course of antibiotics between stages in two-stage revision. Positive reimplantation cultures do not seem to be associated with worse outcomes. (C) 2014 Elsevier Inc. All rights reserved.
引用
收藏
页码：1101 / 1104
页数：4
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