Primary hip arthroplasty periprosthetic infection of the early.doc

 PAGE \* MERGEFORMAT 12 Primary hip arthroplasty periprosthetic infection of the early Of: Meng Wei Bing Hu Chenming Guo Zheng Yongmao is Wangming Jun Ho Hong party Liping [Keywords:] first artificial hip replacement; early infection around the prosthesis; arthroplasty; replacement; hip; infection; sensitive to antibiotic treatment After total hip replacement surgery early infection around the implant before the bacterial culture-positive rate, and a variety of sensitive antibiotics to choose from, most not loose prosthesis, surgical scar area without a lot of, few reports in the literature, the treatment has its relatively unique. but after total hip replacement prosthesis around the correct diagnosis of early infection challenging (1). 9 patients in our hospital after hip replacement in patients with early infection around the prosthesis based on clinical symptoms and laboratory tests , imaging studies, pathological examination of bacterial culture and comprehensive diagnosis, and in accordance with a specific condition or stage revision, the exact effect. 1 Materials and Methods 1.1 General information on our hospital from May 1999 to October 2006 treatment of hip replacement surgery in 9 cases infected patients, including 3 males and 6 females, aged 54 to 78 (mean (56.3 + -1.7)) years old . first replacement to the diagnosis of infection was 10 to 87 (mean 20.3) d. The group of 8 patients with postoperative infections, including total hip replacement, and 1 double-action first artificial replacement. for the first time when the diagnosis of replacement, femoral neck fracture in 2 cases, ankylosing spondylitis with hip ankylosis two cases, hollow screw fixation of femoral neck fracture failure in 3 cases, femoral head necrosis in 2 patients; 7 cases of diabetes complications, 3 cases of pneumoconiosis in 4 cases. used false initial surgery bone cement prosthesis in 6 cases, cementless prosthesis in 3. Preoperative X ray the group 3 cases had v