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Extended trochanteric osteotomy for 2-stage revision of infected total hip arthroplasty
MORSHED S; HUFFMAN GR; RIES MD
J ARTHROPLASTY , 2005, vol. 20, n° 3, p. 294-301 Doc n°: 119759 Localisation : Documentation IRR Descripteurs : DE361 - TRAITEMENT CHIRURGICAL / HANCHE We evaluate the rate of osteotomy healing, implant stability, and eradication of infection when an extended trochanteric osteotomy, with interval placement of an antibiotic-impregnated cement spacer and delayed osteotomy fixation, is used to treat the chronically infected total hip arthroplasty. Thirteen cases were followed for a minimum of 2 years. All patients had complete healing of the extended trochanteric osteotomy within 6 months. At an average follow-up of 39 months, recurrent infection occurred in 3 (23%) patients. Femoral component subsidence of 5 mm occurred in 2 patients, both of which had recurrent infection. Extended trochanteric osteotomy with interval placement of an articulating antibiotic-impregnated cement spacer and delayed osteotomy fixation permits reliable healing of the osteotomy. Langue : ANGLAIS Tiré à part : OUI |
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