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Infección protésica de cadera : recambio en dos tiempos en una serie de 50 casos

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Infección protésica de cadera : recambio en dos tiempos en una serie de 50 casos

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dc.contributor.author Sánchez Losilla, C. es
dc.contributor.author Diranzo García, J. es
dc.contributor.author Estrems Díaz, V. es
dc.contributor.author Jara García, F. es
dc.contributor.author Brú Pomer, Antonio es
dc.contributor.author Hernández Ferrando, L. es
dc.date.accessioned 2021-05-04T10:27:41Z
dc.date.available 2021-05-04T10:27:41Z
dc.date.issued 2020 es
dc.identifier.citation Sánchez Losilla, C. ; Diranzo García, J. ; Estrems Díaz, V. ; Jara García, F. ; Brú Pomer, Antonio ; Hernández Ferrando, L.. Infección protésica de cadera : recambio en dos tiempos en una serie de 50 casos. En: Revista española de cirugía osteoarticular, 55 283 2020: 3- es
dc.identifier.uri https://hdl.handle.net/10550/79064
dc.description.abstract Chronic infection in hip replacement is an important complication with a complex treatment, that is solved by adequate antibiotic therapy together with single-stage exchange or two-stage exchange. We present a descriptiveand retrospective study of a series of 50 consecutive patients operated on in our center with a diagnosis of chronic infection of the hip prosthesis between 2007 and 2018 with a two-stage exchange.At a mean follow-up of 52 months, the overall implant survival was 89%, with a 91% infection cure rate. The most frequent microorganism isolated was Staphylococcus epidermidis. The mean score achieved on the HHS was 82,4 points and 1.67 points on the visual analogue scale. We obtained better functional results (p=0,021) in those patients who had a preformed antibiotic-loaded spacer in the first surgical stage.As complications, we recorded four cases of prosthetic reinfection (8,7%), three cases of dislocation (6,5%), and one case of postsurgical hematoma (4,6%).No case of neurovascular injury or component loosening was recorded.According to the showed results, we consider that two-stage revision procedure, although it is a demanding surgery, is an effective method for the treatment of periprosthetic hip infection, with high implant survival and erradication of the infection. es
dc.title Infección protésica de cadera : recambio en dos tiempos en una serie de 50 casos es
dc.type journal article es_ES
dc.subject.unesco UNESCO::CIENCIAS MÉDICAS es
dc.identifier.doi es
dc.type.hasVersion VoR es_ES

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