Two-Step Total Hip Arthroplasty in Deep Periprosthetic Infection


Modern notions about surgical techniques for the treatment of deep purulent processes in the zone of hip implant are presented. In 13 cases surgical sanitation without implant removal was performed. In case of implant loosening treatment tactics was determined by the possibility of total revision arthroplasty. In 76 patients with periprosthetic infection surgical sanitation was aimed at inflammation arrest and restoration of extremity weight bearing after compelled implant removal. In 44 patients resection arthroplasty with formation of neoarthrosis by Girdlestone was performed. In 17 cases a two-step surgical intervention with implantation of antibiotic impregnated cement spacer followed by revision arthroplasty was used. Clinical, microbiologic and immunologic criteria of favourable treatment outcome with minimum risk of inflammatory process relapse were determined.

Full Text

Двухэтапное тотальное замещение тазобедренных суставов в условиях глубокой перипротезной инфекции


  1. Волошин В.П., Еремин А.В., Оноприенко Г.А., Савицкая К.И, Зубиков В.С, Русанова Е. В., Нестерова М.В. Хирургическое лечение острого и хронического гнойного поражения тазобедренного сустава после тотального эндопротезирования. Новая медицинская технология. М.; 2010.
  2. Маловичко В.В., Уразгильдеев З.И., Цыкунов М.Б. Опорный неоартроз как альтернатива реэндопротезированию и артродезу при гнойных процессах в области тазобедренного сустава. Вестн. травматологии и ортопедии. 2003; 2: 48-56.
  3. Durbhakula S.M., Czajka J., Fuchs M.D. Spacer endoprosthesis for the treatment of infected total hip arthroplasty. J. Arthroplasty. 2004; 19 (6): 760-6.
  4. Кавалерский Г.М., Мурылев В.Ю., Рукин Я.А. и др. Анализ микрофлоры при расшатывании компонентов эндопротеза тазобедренного сустава. В кн.: Материалы 1 Конгресса травматологов и ортопедов «Травматология и ортопедия Столицы. Настоящее и будущее». М.; 2012; 67-8.
  5. Haaker R., Senge A., Kramer J., Rubenthaler F. Osteomyelitis after endoprostheses. Orthopade. 2004; 33 (4): 431-8.
  6. Lentino J.R. Prosthetic joint infections: bane of orthopedists, challenge for infectious disease specialists. Clin. Infect. Dis. 2003; 36 (9): 1157-61.



Abstract - 38


Article Metrics

Metrics Loading ...


  • There are currently no refbacks.

Copyright (c) 2012 Eco-Vector

This website uses cookies

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

About Cookies