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中华关节外科杂志(电子版) ›› 2021, Vol. 15 ›› Issue (01) : 78 -82. doi: 10.3877/cma.j.issn.1674-134X.2021.01.013

所属专题: 文献

综述

髋关节感染二期翻修手术中应用骨水泥型假体占位器
马竟纯1, 王俏杰1, 沈灏1, 张先龙1,()   
  1. 1. 200233 上海交通大学附属上海市第六人民医院骨科
  • 收稿日期:2020-12-30 出版日期:2021-02-01
  • 通信作者: 张先龙

Clinical progress of cemented prosthesis as spacer inserted in two-stage revision for periprosthetic joint infection following total hip arthroplasty

Jingchun Ma1, Qiaojie Wang1, Hao Shen1, Xianlong Zhang1,()   

  1. 1. Department of Orthopedics, Shanghai 6th People’s Hospital Affiliated of Shanghai Jiaotong University, Shanghai 200233, China
  • Received:2020-12-30 Published:2021-02-01
  • Corresponding author: Xianlong Zhang
引用本文:

马竟纯, 王俏杰, 沈灏, 张先龙. 髋关节感染二期翻修手术中应用骨水泥型假体占位器[J/OL]. 中华关节外科杂志(电子版), 2021, 15(01): 78-82.

Jingchun Ma, Qiaojie Wang, Hao Shen, Xianlong Zhang. Clinical progress of cemented prosthesis as spacer inserted in two-stage revision for periprosthetic joint infection following total hip arthroplasty[J/OL]. Chinese Journal of Joint Surgery(Electronic Edition), 2021, 15(01): 78-82.

假体周围感染(PJI)是全髋关节置换术后灾难性的并发症,目前二期翻修手术对于髋关节PJI仍是最为有效的治疗方法。传统的抗生素骨水泥关节型占位器的植入是二期翻修间隔期控制感染复发的关键,但既往研究中患者于间隔期髋关节功能及生活质量均处于较低水平。骨水泥型假体是较为新颖的二期翻修占位器设计,以PROSTALAC系统为代表的骨水泥型假体占位器在近年数篇临床研究中均报道了较为满意的结果,但目前在国内外仍未广泛开展。本综述旨在筛选既有骨水泥型假体占位器的相关文献,总结其设计理念、感染控制率、间隔期功能及生活质量等方面的相关数据,探讨长期占位器留存的可能性,为骨水泥型占位器的研究开展提供参考。

Periprosthetic joint infection(PJI)is a disastrous complication after total hip arthroplasty(THA), while two-stage revision remains the most effective solution among all the therapeutic treatments of PJI. The insertion of traditional articulating antibiotic-loaded cement spacer reaches high eradication rate and provides improved range of movement of hip. However, patients still report poor hip function、health quality and satisfaction during the interim phase. The cemented prosthesis spacer coated with antibiotic-loaded cement such as PROSTALAC system is an evolutionary technique, which has been reported satisfied clinical outcome in recent researches but not widely used worldwide. This review aimed to summarize the data of design、eradication rate、function and health quality during interim phase of the cemented prosthesis spacer from previous literature, explore the possibility of the long-term spacer insertion without second surgery, and provide reference for the prospective studies of the cemented prosthesis in the future.

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