髋部骨折内固定术后感染的全髋关节置换治疗综述

Total hip arthroplasty for infection after internal fixation of hip fractures

  • 摘要: 感染是髋部骨折内固定术后最严重的并发症之一,其治疗的目标是消除感染、缓解疼痛、重建功能。由于金属内置物的存在,单纯应用抗生素治疗很难彻底根除髋关节深部的微生物,而清创引流术往往存在感染控制不彻底、复发率高以及术后下肢短缩、关节不稳、患髋疼痛等缺点,使得此类感染治疗面临巨大的挑战性。目前,人工全髋关节置换术已成为髋部骨折内固定失败的有效补救措施,同时髋关节术后感染治疗方面的研究也取得了一定进展。本文对全髋关节置换术治疗髋部骨折内固定术失败继发髋关节深部感染的临床应用与相关研究进行综述,为临床治疗提供参考。

     

    Abstract: Infection is one of the most severe complications after hip fracture fixation. The goal of its treatment is to eradicate infection, relieve pain and restore function. However, with reservation of internal implants, it is hard to achieve only by antibiotic therapy or debridement, lead to consequences such as incomplete infection control, high recurrence rate and other complications after operation. Currently, total hip arthroplasty (THA) has become an effective salvage method for failed internal fixation of hip fractures, and it has been proved effective clinically. This article reviews all relative clinical researches on THA treating hip infection after failed hip fractures internal fixation, so as to provide reliable evidences for clinical practice.

     

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