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Báo cáo y học: "Classification of hip joint infections"

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Tuyển tập các báo cáo nghiên cứu khoa học ngành y học tạp chí Medical Sciences dành cho các bạn sinh viên ngành y tham khảo đề tài: Classification of hip joint infections. | Int. J. Med. Sci. 2009 6 227 International Journal of Medical Sciences 2009 6 5 227-233 Ivyspring International Publisher. All rights reserved Review Classification of hip joint infections Konstantinos Anagnostakos 1 H Nora Verena Schmid 1 Jens Kelm 1 2 Ulrich Grun 1 Jochen Jung 1 1. Klinik fur Orthopadie und Orthopadische Chirurgie Universitatskliniken des Saarlandes Homburg Saar Germany 2. Chirurgisch-Orthopadisches Zentrum Illingen Saar Germany ISI Correspondence to Dr. Konstantinos Anagnostakos Klinik fur Orthopadie und Orthopadische Chirurgie Univer-sitatskliniken des Saarlandes Kirrbergerstr. 1 D-66421 Homburg Saar Germany. Tel. 0049-6841-1624520 Fax 0049-6841-1624516 e-mail k.anagnostakos@web.de Received 2009.07.01 Accepted 2009.08.28 Published 2009.09.01 Abstract Infections still remain one of the most devastating complications in hip joint surgery. Classification of these infections help the orthopaedic surgeon to identify the acuteness or chronicity of the infection predict the complexity of the treatment procedure and ensure that all necessary device are available at the time of the revision surgery. The present article reviews the actual literature and provides an overview of clinical arthroscopic microbiological and radiological staging systems. Key words hip joint infection early infection late infection low-grade infection Introduction Approximately 170 000 primary total hip arthroplasties are performed in Germany annually 10 . Despite numerous prophylactic measures infections still occur in 1-2 of these cases whereas this rate may increase after revision surgery 1 . This means that between 1000 and 2500 patients per year will become infected. Similar figures are reported in the United States 16 . Moreover the overall infection rate is likely to increase as the life expectancy of the implants is increased and patients are followed up longer. Depending on the time of infection manifestation presence of any hardware virulence and antibiotic profile of

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