Total hip arthroplasty for patients with osteoarthritis secondary to hip pyogenic infection

Total hip arthroplasty for patients with osteoarthritis secondary to hip pyogenic infection

GAO Xiang;HE Rong-xin;YAN Shi-gui

【期刊名称】《中华医学杂志（英文版）》 【年(卷),期】2010(123)002

【摘要】Background Pyogenic hip arthritis occurs most often in young patients. Delayed treatment causes significant anatomical deformation of bony and soft tissue structures leading to premature onset of secondary osteoarthritis. Total hip arthroplasty (THA) in patients who had osteoarthritis secondary to hip pyogenic infection has been associated with high complication rates. Methods We analyzed 19 THAs performed from April 2003 to July 2008 in adults with osteoarthritis secondary to hip pyogenic infection (average age 40.7 years; range 34-52 years). There were 7 males and 12 females, the average age of infection was 10.6 years (range 7-13 years) and the average quiescent period of infection was 29.5 years (range 22-41 years). The count of white blood cell (WBC), erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) were examined routinely before surgery. The duration of followup was 34 months (range 6-52 months). Conclusions It is safe and efficient to perform THA in patients who had osteoarthritis secondary to pyogenic hip arthritis when the infection is quiescent. The key points of successful surgery are exclusion of active infection

preoperatively, quiescent period of infection more than ten years and adequate intraoperative soft tissue releases. 【总页数】4页(156-159) 【关键词】

【作者】GAO Xiang;HE Rong-xin;YAN Shi-gui

【作者单位】Department of Orthopaedics, the Second Affiliated Hospital, Medical School of Zhejiang University, Hangzhou, Zhejiang 310009, China;Department of Orthopaedics, the Second Affiliated Hospital, Medical School of Zhejiang University, Hangzhou, Zhejiang 310009, China;Department of Orthopaedics, the Second Affiliated Hospital, Medical School of Zhejiang University, Hangzhou, Zhejiang 310009, China 【正文语种】中文 【中图分类】 【文献来源】

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