tailieunhanh - Báo cáo y học: "Treatment of proximal femur infections with antibiotic-loaded cement spacers"

Tuyển tập các báo cáo nghiên cứu khoa học ngành y học tạp chí Medical Sciences dành cho các bạn sinh viên ngành y tham khảo đề tài: Treatment of proximal femur infections with antibiotic-loaded cement spacers. | Int. J. Med. Sci. 2009 6 258 International Journal of Medical Sciences 2009 6 5 258-264 Ivyspring International Publisher. All rights reserved Research Paper Treatment of proximal femur infections with antibiotic-loaded cement spacers J. Kelm 1-2 H P. Bohrer 3 E. Schmitt 1 K. Anagnostakos 1 1. Klinik fur Orthopadie und Orthopadische Chirurgie Universitatskliniken des Saarlandes Homburg Saar Germany 2. Chirurgisch-Orthopadisches Zentrum Illingen Saar Germany 3. Amper Kliniken AG Klinikum Dachau Abteilung fur Orthopadie und Unfallchirurgie Germany H Correspondence to Dr. med. Jens Kelm Diplom-Sportlehrer Chirurgisch-Orthopadisches Zentrum Illingen Rathausstr. 2 D-66557 Illingen Saar Germany. Tel 0049 6841 1624520 Fax 0049 6841 1624516 E-Mail jk66421@ Received Accepted Published Abstract In case of periprosthetic hip infections the implantation of antibiotic-loaded PMMA spacers is accepted for an adequate treatment option. Although their indication for the treatment of destructive bacterial infections of the proximal femur would make sense literature data are scarce. Hence the aim of this study was to evaluate the efficacy of antibiotic-impregnated spacers in the treatment of proximal femur infections. In 10 consecutive patients 5 M 5 F mean age 66 y. with bacterial proximal femur infections a femoral head neck resection was prospectively performed with a subsequent implantation of an antibiotic-loaded spacer. The joint-specific outcome was evaluated by the Merle d Aubigne and the Mayo hip score the general outcome by SF-36. The time periods were divided into infection situation between stages and meanly 1 year after prosthesis implantation . The spacers were meanly implanted over 90 155-744 days. In all cases an infection eradication could be achieved. After infection eradication a prosthesis implantation was performed in 8 cases. The general scores showed significant increases at each time period. With regard to the .