Early treatment result in a patient with periprosthetic hip infection

Full Text

Abstract

Typical errors in rendering specialized care to patients with chronic periprosthetic infection after total hip arthroplasty are demonstrated on the example of one patient. The role of patient examination with due regard for the complication risk factors, insufficient alertness in respect to postoperative infectious complications, absence of continuity at the steps of surgical treatment, complexity of eradication of infectious agent and need of multidisciplinary approach for rendering care to this group of patients is specially emphasized.

Full Text

Restricted Access

About the authors

I. I Shubnyakov

Russian Scientific Research Institute of Traumatology and Orthopedics named after R.R. Vreden

St. Petersburg, Russia

S. A Bozhkova

Russian Scientific Research Institute of Traumatology and Orthopedics named after R.R. Vreden

St. Petersburg, Russia

Vasiliy A. Artyukh

Russian Scientific Research Institute of Traumatology and Orthopedics named after R.R. Vreden

Email: artyukhva@mail.ru
Cand. med. sci., head of suppurative surgery department St. Petersburg, Russia

V. N Liventsov

Russian Scientific Research Institute of Traumatology and Orthopedics named after R.R. Vreden

Email: artyukhva@mail.ru
St. Petersburg, Russia

A. A Kochish

Russian Scientific Research Institute of Traumatology and Orthopedics named after R.R. Vreden

St. Petersburg, Russia

A. V Afanas’ev

Russian Scientific Research Institute of Traumatology and Orthopedics named after R.R. Vreden

St. Petersburg, Russia

References

  1. Шубняков И.И. Тихилов Р.М., Николаев Н.С. и др. Эпидемиология первичного эндопротезирования тазобедренного сустава на основании данных регистра артропластики РНИИТО им. Р.Р. Вредена. Травматология и ортопедия России. 2017; 23 (2): 81-101. doi: 10.21823/2311-2905-2017-23-2-81-101.
  2. Barrett L., Atkins B. The clinical presentation of prosthetic joint infection. J. Antimicrob. Chemother. 2014; 69 (Suppl 1): 25-7. doi: 10.1093/jac/dku250.
  3. Bauer T.W., Parvizi J., Kobayashi N., Krebs V. Diagnosis of periprostetic infection. J. Bone Joint Surg. Am. 2006; 88 (4): 869-82.
  4. Phillips C.B., Barrett J.A., Losina E. et al. Incidence rates of dislocation, pulmonary embolism, and deep infection during the first six months after elective total hip replacement. J. Bone Joint Surg. Am. 2003; 85-A (1): 20-6.
  5. Klouche S., Sariali E., Mamoudy P. Total hip arthroplasty revision due to infection: a cost analysis approach. Orthop. Traumatol. Surg. Res. 2010; 96 (2): 124-32. doi: 10.1016/j.rcot.2010.02.005.
  6. Peel T.N., Dowsey M.M., Buising K.L. et al. Cost analysis of debridement and retention for management of pros- thetic joint infection. Clin. Microbiol. Infect. 2013; 19 (2): 181-6. doi: 10.1111/j.1469-0691.2011.03758.x.
  7. Parvizi J., Pawasarat I.M., Azzam K.A. et al. Periprosthetic joint infection: the economic impact of methicillin-resistant infections. J. Arthroplasty. 2010; 25 (6 Suppl): 103-7. doi: 10.1016/j.arth.2010.04.011.
  8. Ata A., Lee J., Bestle S.L. et al. Postoperative hyperglycemia and surgical site infection in general surgery patients. Arch. Surg. 2010; 145 (9): 858-64. doi: 10.1001/ archsurg.2010.179.
  9. Wu C., Qu X., Liu F. et al. Risk factors for periprosthetic joint infection after total hip arthroplasty and total knee arthroplasty in Chinese patients. PLoS One. 2014; 9 (4): e95300. doi: 10.1371/journal.pone.0095300.
  10. Лю Б., Тихилов Р.М., Шубняков И.И. и др. Анализ эффективности санирующих операций при параэндопротезной инфекции. Травматология и ортопедия России. 2014; 2 (72): 22-9. doi: 10.21823/2311-2905-2014-0-2-22-29.
  11. Cushner F., Agnelli G., Fitzgerald G., Warwick D. Complications and functional outcomes after total hip arthroplasty and total knee arthroplasty: results from the global Orthopaedic Registry (gLORY). Am. J. Orthop. (Belle Mead NJ). 2010; 39 (9 Suppl): 22-8.
  12. Лю Б., Тихилов Р.М., Шубняков И.И. и др. Эффективность первого этапа двухэтапной ревизии при параэндопротезной инфекции тазобедренного сустава. Травматология и ортопедия России. 2014; 3 (73): 5-14. doi: 10.21823/2311-2905-2014-73-3-5-14.
  13. Винклер Т., Трампуш А., Ренц Н. и др. Классификация и алгоритм диагностики и лечения перипротезной инфекции тазобедренного сустава. Травматология и ортопедия России. 2016; 1 (79); 33-45.
  14. Тихилов Р.М., Шубняков И.И., Плиев Д.Г. и др. Руководство по хирургии тазобедренного сустава. т. 2. СПб: РНИИТО им. Р.Р. Вредена; 2015: 208-43.
  15. Материалы международной согласительной конференции по перипротезной инфекции Перевод с англ. под ред. Р.М. Тихилова. СПб: РНИИТО им. Р.Р. Вредена; 2014: 293-4.

Statistics

Views

Abstract: 134

Cited-by

CrossRef: 1

  1. Grishchuk AN, Leonova SN, Kameka AL. Using an Algorithm to Choose the Surgical Tactics for the Treatment of Periprosthetic Infection of Large Joints. Acta Biomedica Scientifica (East Siberian Biomedical Journal). 2021;5(6):199. doi: 10.29413/ABS.2020-5.6.24

Dimensions

Article Metrics

Metrics Loading ...

PlumX

Refbacks

  • There are currently no refbacks.

Copyright (c) 2017 Eco-Vector



This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies