[Ortho] Меронем и костный цемент

[Maxim Agalakov]

"In the early eighties Buchholz and coworkers published their experience in one
stage total hip revisions. Surgery included excision of soft tissue, removal of the
implant and cement, replacement with an appropriate prosthesis using antibiotic-
loaded cement and systemic antibiotics. Overall success rate after ten years was 77%
in 583 patients [5]. Hanssen and Rand could show that the use of antibiotic-loaded
cement in one stage revisions is significantlymore successful than usual cement (suc-
cess rate 83% vs. 60%) [25]. More recent studies showed a higher success rate in
small series of 90.9% [6], 91.7 [7] and 100% [47]. In a literature review including 12
reportsoverallsuccesswas83%[34]."
E.Meani · C. Roman` o · L. Crosby · G.Hofmann (Eds.)
Editorial Coordinator: G. Calonego
Infection and Local Treatment
in Orthopedic Surgery

Интересно, что 60% излечились как-то без антибиотика

От туда же
One-stage Non-cemented Revision of Septic Hip
Prosthesis Using Antibiotic-loaded Bone Graft

All patients could be followed with a minimum of 2 years and a maximum of 8
years (mean 4,1 years). 35 (из 37) patients showed no sign of infection until the last follow up.

Теперь уже антибиотики, но без цемента.

Dead space management therefore represents one critical point of septic surgery.

Maxim Agalakov