Avtor/Urednik		Trebše, R; Pišot, V; Trampuž, A
Naslov		Treatment of infected retained implants
Tip		članek
Vir		J Bone Joint Surg Br
Vol. in št.		Letnik 87, št. 2
Leto izdaje		2005
Obseg		str. 249-56
Jezik		eng
Abstrakt		We have prospectively studied the outcome of infections associated with implants which were retained and treated using a standardised antimicrobial protocol. Over a period of four years, we studied 24 consecutive patients who had symptoms of infection for less than one year, a stable implant, no sinus tract and a known pathogen which was susceptible to recommended antimicrobial agents. The infections involved hip prostheses (141, knee prostheses (51, an internal fixation device (41, and an ankle prosthesis (1). Twenty patients had a successful outcome at a median follow-up of 3.7 years (1.8 to 4.71; four had failure of the implant after a median follow-up of 1.2 years (0.3 to 2.51. The probability of survival without failure of treatment was 96% at one year (95% confidence interval (CI) 88 to 700), 92% at two years (95% CI 80 to 700) and 86% at three years (95% CI 72 to 100). Patients with a short-term infection but with a stable implant, no sinus tract and a known pathogen may be successfully treated by retention of the implant and the use of a standardised regimen of antimicrobial treatment.
Deskriptorji		HIP PROSTHESIS INTERNAL FIXATORS KNEE PROSTHESIS BACTERIAL INFECTIONS ANTIBIOTICS AGE FACTORS SEX FACTORS TREATMENT OUTCOME CLOXACILLIN GENTAMICINS PROSTHESIS-RELATED INFECTIONS STAPHYLOCOCCAL INFECTIONS