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: Complications after spacer implantation in the treatment of hip joint infections. | Int. J. Med. Sci. 2009 6 265 International Journal of Medical Sciences 2009 6 5 265-273 Ivyspring International Publisher. All rights reserved Research Paper Complications after spacer implantation in the treatment of hip joint infections Jochen Jung 1 H Nora Verena Schmid 1 Jens Kelm 1 2 Eduard Schmitt 1 Konstantinos Anagnostakos 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. Jochen Jung Klinik fur Orthopadie und Orthopadische Chirurgie Universitatskliniken des Saar-landes D-66421 Homburg Saar. Tel. 0049-6841-1624575 Fax 0049-6841-1624516 email Received Accepted Published Abstract The aim of this retrospective study was to identify and evaluate complications after hip spacer implantation other than reinfection and or infection persistence. Between 1999 and 2008 88 hip spacer implantations in 82 patients have been performed. There were 43 male and 39 female patients at a mean age of 70 43 - 89 years. The mean spacer implantation time was 90 14-1460 days. The mean follow-up was 54 7-96 months. The most common identified organisms were S. aureus and S. epidermidis. In most cases the spacers were impregnated with 1 g gentamicin and 4 g vancomycin 80 g bone cement. The overall complication rate was 48 82 cases . A spacer dislocation occurred in 15 cases 17 . Spacer fractures could be noticed in 9 cases . Femoral fractures occurred in 12 cases . After prosthesis reimplantation 16 patients suffered from a prosthesis dislocation 23 . 2 patients showed allergic reactions against the intravenous antibiotic therapy. An acute renal failure occurred in 5 cases 6 . No cases of hepatic failure or ototoxicity could be observed in our collective. General complications consisting mostly of draining sinus pneumonia cardiopulmonary decompensation lower urinary tract
