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PubMed · 2898882

[The infected hip joint].

J H Pietschmann·M Hansis·S Weller
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Abstract

The deep infection of a hip joint (after operative treatment of a fracture, after corrective osteotomy or as a haemtogeneous joint infection) is a severe, locally and systemically dangerous sickness; her treatment ist difficult because of the multifactorial genesis. In the accident hospital of Tübingen were treated 35 empyemas of hip joint (excluding after implantation of a prosthesis) within 10 years. The therapeutic management normally needs three steps: 1. Control of acute empyema or septicaemia (Debridement, Drainage, antibiotic treatment) 2. Achievement of fracture or osteotomy stability (by changing of osteosynthesis or bone-grafting under continuous drainage) 3. Definitive healing by removing of metal, resection of a destroyed or necrotic femoral head, by arthrodesis of the joint or--in special cases--by implantation of a prosthesis. In this way it was possible to control all of the 35 deep hip joint infections and to maintain function in 28 cases. Within the follow up (in the average 4 years) all the patients were free of infection.

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Anti-Bacterial AgentsArthritis, InfectiousCombined Modality TherapyFemur Head NecrosisFollow-Up StudiesFracture Fixation, InternalHip FracturesHip ProsthesisHumansMiddle AgedPostoperative ComplicationsPseudarthrosisSurgical Wound InfectionWound HealingEnglish AbstractJournal Article

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J H Pietschmann, M Hansis, S Weller. 1988. [The infected hip joint].. https://pubmed.ncbi.nlm.nih.gov/2898882/

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