Infectious complications after replacement of a large joints
Т.А. KILMETOV1, S.A. LAPSHINA1,2, S.A. ARDASHEV1
1Kazan State Medical University, 49 Butlerov St., Kazan, Russian Federation, 420012
2Republican Clinical Hospital of the MH of RT, 138 Orenburgskiy trakt, Kazan, Russian Federation, 420064
Kilmetov T.A. — postgraduate student of Traumatology, Orthopedics and Emergency Surgery Department, tel. +7-917-286-78-27, e-mail: t.kilmetov@gmail.com
Lapshina S.A. — Cand. Med. Sc., Assistant of the Department of Hospital Therapy, tel. +7-987-290-15-65, e-mail: hospther@mail.ru
Ardashev S.A. — resident of the Traumatology, Orthopedics and Emergency Surgery Department, tel. +7-917-886-07-17, e-mail: ardashev-sergei@mail.ru
This article appears to be the result of treatment of 35 patients with infectious complications after arthroplasty of a large joints. In the treatment was used a two-stage variant revision surgery, where the intermediate stage was the setting of a spacer from the bone cement which was prepared intraoperative. All patients were divided into 2 groups. In the main group during the preparing of the spacer was added an antibiotic, and postoperative course includes immunostimulating therapy. In the control group was used the spacer from the bone cement with prophylactic doses of gentamicin, and in the postoperative period immunostimulatory therapy wasn’t given. In the main group achieved a more stable remission, in comparison with the control group. The authors analyzed the immune status of patients with periprosthetics infection.
Key words: arthroplasty, periprosthetic infection, immune status, immunostimulatory therapy.
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