2000, Number 4
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Acta Ortop Mex 2000; 14 (4)
Treatment of infections after total hip replacement
Campos ALF, Lazcano MMA
Language: Spanish
References: 17
Page: 309-312
PDF size: 57.20 Kb.
ABSTRACT
For its study, the infections after total of hip replacement are divided in superficial and deep, acute and chronic. The acute infections are those that appear in the first three months of the postoperative one; when they are superficial the problem is solved with the help of surgical cleaning; when they are deep an intense pain accompanied by fever, edema, exists increase of volume, leukocytosis and increase in the speed of globular sedimentation, the treatment should be an immediate surgical reoperation. The superficial chronic infections have been related with the presence of wires of the biggest trocanter. In the infection deep chronic, the constant sign is the pain, slight a slight fever remains, there is increase of volume in thigh and hip, the speed of globular sedimentation this high, but the differential of the leukocytes is normal. In turn the deep chronic infections can be subdivided localized, of low virulence, controllable and not controllable, each one with their own characteristics and specific treatment.
REFERENCES
Artz TD, Macys J, Salvati EA, Jacobs, Wilson PD Jr. Haematogenous infection of total hip replacements. A report of four cases. J Bone Joint Surg 1975: 57-A. 1024.
Barton DS, Schuman DJ. Hematogenous infection in bilateral total hip arthoplasty. J Bone Joint Surg 1975; 57-A: 1004-5.
Benson MKD, Huges SPF. Infection following total hip replacement in a General Hospital without special orthopaedic facilities. Acta Orthop Scand 1975; 46: 968-978.
Buchholz HW, Gartmand HD. Infektions prophylaxe and operative behand lung der Schleichenden tiefen infektin bei der totalen endoprosthese. Chirurg 1972; 43: 446-453.
Coventry MB, Beckenbaugh RD, Nolan DR. 2012 Total hip artroplasties. A study of postoperative course and early complications. J Bone and J Surg 1973; 55: 1487.
Coventry MB. Tratamiento de infecciones en cirugía total de cadera. Orthop Clin North Am 1975; 6: 991-1003.
Crues RL, Bickel WS, Von Kesslee KLC. Infections in total hip secondary to a primary source elsewhere. Clin Orthop 1975; 106: 99-101.
Charnley J. Postoperative infections after total hip replacement with special reference to air contamination in the operating room. Clin Orthop 1972; 87: 167-87.
D’Ambrosia RD, Shaji H, Hester R. Secondarily infected total joint replacements by hematogenous spread. J Bone Joint Surg 1976; 58A: 450-3.
Hunter GA, Dandy D. Diagnosis and natural history of the infected total hip replacement. Proceedings of the fifth open scientific meeting of the hip society 1977.
Kelly PJ, Martin WJ, Coventry MB. Chronic osteomyelitis treatment with closes irrigation and suction. JA. MA 1970; 213: 1843.
Lazcano Marroquín MA. Hemiartroplastía de cadera tipo Lazcano para fracturas intertrocantéricas. Ciencia y Cultura Latinoamericana, SA de CV 1998.
Limdberg L, Carlson A, Josefsson G. Use of antibiotic containing cement in total hip arthroplasty done in the presence of or after deep wound infection. Proceedings of the fifth open scientific meeting of the hip society 1977.
Lindberg L, et al. Assessment of the painful total hip arthroplasty with artrography and bone scanning. Proceeding of the hip fifth open Scientific Meeting of the Society 1977.
Mallory ME. Sepsis in total hip replacement following pneumonia. A case report. J Bone Joint Surg 1973; 55-A: 1753-1754.
Salvati EA, Freiberger RH, Witson PD. Arthrography for complications of total hip replacements; a review of thirty one arthrograms. J Bone Joint Surg 1971; 53A: 701-709.
Wilson PDJ, Salvati EA, et al. The results of total prosthetic replacement of the hip in the presence of known or suspected infection. J Bone and Joint Surg 1973; 55: 1976.