Outcomes of Revision Arthroplasty of Large Joints with Periprosthetic Infection

The article presents an analysis of the results of treatment of 62 patients with deep periprosthetic infection of the hip and knee joints who underwent revision arthroplasty. The age of the patients is from 37 to 81 years (mean age 62.7 ± 3.21 years). Men made 51.6 % of all patients. Periprosthetic...

Descripción completa

Guardado en:
Detalles Bibliográficos
Autores principales: S. N. Leonova, A. L. Kameka, A. N. Grishchuk
Formato: article
Lenguaje:RU
Publicado: Scientific Сentre for Family Health and Human Reproduction Problems 2019
Materias:
Q
Acceso en línea:https://doaj.org/article/9960b3e42cc0426ea2143ddd0ce3be7f
Etiquetas: Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
id oai:doaj.org-article:9960b3e42cc0426ea2143ddd0ce3be7f
record_format dspace
spelling oai:doaj.org-article:9960b3e42cc0426ea2143ddd0ce3be7f2021-11-23T06:14:43ZOutcomes of Revision Arthroplasty of Large Joints with Periprosthetic Infection2541-94202587-959610.29413/ABS.2019-4.6.16https://doaj.org/article/9960b3e42cc0426ea2143ddd0ce3be7f2019-12-01T00:00:00Zhttps://www.actabiomedica.ru/jour/article/view/2204https://doaj.org/toc/2541-9420https://doaj.org/toc/2587-9596The article presents an analysis of the results of treatment of 62 patients with deep periprosthetic infection of the hip and knee joints who underwent revision arthroplasty. The age of the patients is from 37 to 81 years (mean age 62.7 ± 3.21 years). Men made 51.6 % of all patients. Periprosthetic infection after hip replacement occurred in 34 patients, knee joint - in 28 patients. There were 67 completed revision interventions.The analysis showed that the use of revision endoprosthetics for periprosthetic infection made it possible to stop the infection process in 68.7 % of cases. In case of one-stage revision endoprosthesis replacement, unsatisfactory results in terms of stopping the infection process amounted to 31.8 % of cases. Of these, subsequently in 8 patients (57.1 %) the endoprosthesis was removed with the subsequent formation of ankylosis of the knee joint and neoarthrosis of the hip joint. An unsatisfactory result of two-stage revision endoprosthetics was obtained in 38.9 % of cases. Of these, in 6 cases (85.7 %), the infectious process was not stopped at the stage of spacer installation.The analysis of cases of unsatisfactory results of revision endoprosthetics was carried out taking into account the method we developed for determining the surgical tactics of revision endoprosthetics of large joints in case of infectious complication, based on establishing the degree of risk of maintaining the infectious process. In addition, adverse factors that prevented the relief of periprosthetic infection were identified. As a result of the analysis, it was revealed that the reason for the unsatisfactory result of one-stage revision endoprosthetics in 12 cases was the wrong choice of the type of revision intervention. When planning a two-stage revision endoprosthesis replacement, it is necessary to take into account factors such as an allergy to antibacterial drugs, multiple surgical interventions on the affected joint, and extensive bone defects in the endoprosthesis area.S. N. LeonovaA. L. KamekaA. N. GrishchukScientific Сentre for Family Health and Human Reproduction Problemsarticlerevision endoprostheticship and knee jointsperiprosthetic infectiondegree of risk of maintaining the infectious processScienceQRUActa Biomedica Scientifica, Vol 4, Iss 6, Pp 108-111 (2019)
institution DOAJ
collection DOAJ
language RU
topic revision endoprosthetics
hip and knee joints
periprosthetic infection
degree of risk of maintaining the infectious process
Science
Q
spellingShingle revision endoprosthetics
hip and knee joints
periprosthetic infection
degree of risk of maintaining the infectious process
Science
Q
S. N. Leonova
A. L. Kameka
A. N. Grishchuk
Outcomes of Revision Arthroplasty of Large Joints with Periprosthetic Infection
description The article presents an analysis of the results of treatment of 62 patients with deep periprosthetic infection of the hip and knee joints who underwent revision arthroplasty. The age of the patients is from 37 to 81 years (mean age 62.7 ± 3.21 years). Men made 51.6 % of all patients. Periprosthetic infection after hip replacement occurred in 34 patients, knee joint - in 28 patients. There were 67 completed revision interventions.The analysis showed that the use of revision endoprosthetics for periprosthetic infection made it possible to stop the infection process in 68.7 % of cases. In case of one-stage revision endoprosthesis replacement, unsatisfactory results in terms of stopping the infection process amounted to 31.8 % of cases. Of these, subsequently in 8 patients (57.1 %) the endoprosthesis was removed with the subsequent formation of ankylosis of the knee joint and neoarthrosis of the hip joint. An unsatisfactory result of two-stage revision endoprosthetics was obtained in 38.9 % of cases. Of these, in 6 cases (85.7 %), the infectious process was not stopped at the stage of spacer installation.The analysis of cases of unsatisfactory results of revision endoprosthetics was carried out taking into account the method we developed for determining the surgical tactics of revision endoprosthetics of large joints in case of infectious complication, based on establishing the degree of risk of maintaining the infectious process. In addition, adverse factors that prevented the relief of periprosthetic infection were identified. As a result of the analysis, it was revealed that the reason for the unsatisfactory result of one-stage revision endoprosthetics in 12 cases was the wrong choice of the type of revision intervention. When planning a two-stage revision endoprosthesis replacement, it is necessary to take into account factors such as an allergy to antibacterial drugs, multiple surgical interventions on the affected joint, and extensive bone defects in the endoprosthesis area.
format article
author S. N. Leonova
A. L. Kameka
A. N. Grishchuk
author_facet S. N. Leonova
A. L. Kameka
A. N. Grishchuk
author_sort S. N. Leonova
title Outcomes of Revision Arthroplasty of Large Joints with Periprosthetic Infection
title_short Outcomes of Revision Arthroplasty of Large Joints with Periprosthetic Infection
title_full Outcomes of Revision Arthroplasty of Large Joints with Periprosthetic Infection
title_fullStr Outcomes of Revision Arthroplasty of Large Joints with Periprosthetic Infection
title_full_unstemmed Outcomes of Revision Arthroplasty of Large Joints with Periprosthetic Infection
title_sort outcomes of revision arthroplasty of large joints with periprosthetic infection
publisher Scientific Сentre for Family Health and Human Reproduction Problems
publishDate 2019
url https://doaj.org/article/9960b3e42cc0426ea2143ddd0ce3be7f
work_keys_str_mv AT snleonova outcomesofrevisionarthroplastyoflargejointswithperiprostheticinfection
AT alkameka outcomesofrevisionarthroplastyoflargejointswithperiprostheticinfection
AT angrishchuk outcomesofrevisionarthroplastyoflargejointswithperiprostheticinfection
_version_ 1718416961514242048