Tài liệu Báo cáo y học: "Treatment of proximal femur infections with antibiotic-loaded cement spacers"

The maintenance of the joint function and the infection eradication are the treatment aims of bacterial infections of the proximal femur and its bordering soft tissues. In case of early infections of a bacterial coxitis, local treatment procedures, such as arthrotomy and lavage [2], open or arthroscopic joint lavage [4], insertion of antibiotic-loaded media [21] and systemic antibiosis [2] usually lead to a successful infection management. However, these procedures are insufficient in the treatment of the destructive, bacterial coxitis or the septic pseudarthrosis of the femoral neck after osteosynthesis. Thus, in these cases a twostage treatment is often required. Beyond the obligate systemic antibiosis, the common procedure includes an excision arthroplasty of the femoral head (Girdlestone-hip) with a simultaneous insertion of commercial antibiotic-loaded device (beads or collagen sponges) [16-18, 20].