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Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2016, Number 4

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Acta Ortop Mex 2016; 30 (4)

Treatment of the infected Hip replacement: 3 surgical times in one hospital stay (T-3/1)

Gómez-García F, Espinosa-Mendoza RL, Nava-García A

Language: Spanish
References: 26
Page: 164-169
PDF size: 213.65 Kb.


ABSTRACT

Background: The impacts of chronic periprosthetic joint infection, variability in rates of recurrence and the lack of consensus as to what is the best way to treat it, require using alternatives. Does the alternative proposed here has a recurrence rate at least equal to or less than the methods used now? Material and methods: We were retrospectively studied 15 adult patients and analyze variables related to the host, implant, germ, diagnosis and recurrence rate. The surgical technique treatment protocol it’s described. Results: Of the 15 patients, one was lost when he was 48 months follow up. In another the implant is definitely retreat. 2 died at 36 and 40 months after the replacement, there was doubt one of reinfection. Three recurred and were re-operated with the same technique. At follow-up cut, 100% of living patients are asymptomatic with out recurrence. Conclusions: The T-3 in 1 surgical technic (three times in one period of hospitalization) provides comparable results with success rates in one or two times. The main advantage is that there is greater confidence that you have making effective cleaning, launch an immediate rehabilitation, without having to wait weeks or months for a definitive reimplantation as 2 times replacement. Each patient should be treated individually according to risk factors of recurrence and recommendations made by expert panels. A decision table is proposed to prescribe eradication techniques currently available.


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