Abstract

HERNANDEZ ESPINOSA, Orlando A. et al. Treatment applied in total hip arthroplasty infection. Rev Cubana Ortop Traumatol [online]. 2009, vol.23, n.1, pp. 0-0. ISSN 1561-3100.

We made a longitudinal, prospective and descriptive study in "Frank País" International Scientific Center during October 1, 2003 to September 31, 2005 with a cohort of 34 adult patients presenting total arthroplasty of infected hip treated in Septic Service. The 44.2 % was of female sex and the 55.8 % of male one. In this latter, age group was of 60 to 69 years and was the greatest case figure with a 23.52 % of patient total. In Fitzgerald II stage was included the greatest figure of patients (14 patients for a 41.16 %). The more frequent bacterial agent was Staphylococcus epidermidis in 11 patients. In no patient we used the exclusive administration of antibiotics with surgery as treatment method. The turnover arthroplasty (in two steps) was the more used treatment method and we applied it in 14 patients (41.17 %). At 6 months of combined treatment of wide debridement, the parenteral antibiotic administration, the use of arthrodesis and prosthetic retention, we noted a good course in 8 of the 13 patients treated with two steps-turnover arthroplasty. The more frequent complication was the residual pain, present in 14 patients.

Keywords : Hip total arthroplasty; infection.

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