[Ortho] Меронем и костный цемент

[Maxim Agalakov]

 Despite remarkably high
levels of antibiotics in adjacent cortical bone, the effi-
cacy of antibiotic-impregnated cement in the treatment
of infection at the site of a total hip arthroplasty has not
been established with use of comparative clinical stud-
ies, to our knowledge; however, the clinical experience
with antibiotic-impregnated cement has been wide-
spread3,11,29,36,51,55,56,66,76,78,81,91,93,94,96,100,114,115,121,122,136-138,141,142
. Several
different factors, such as variability in the type and
amount of antibiotic added to bone cement, proba-
bly account for the inability to demonstrate the efficacy
of local delivery.

Evaluation and Treatment of Infection
at the Site of a Total Hip or Knee Arthroplasty*†
BY ARLEN D. HANSSEN, M.D.‡, ROCHESTER, MINNESOTA, AND JAMES A. RAND, M.D.§, SCOTTSDALE, ARIZONA
An Instructional Course Lecture, American Academy of Orthopaedic Surgeons
Maxim Agalakov