scholarly journals Periprosthetic Infection on a Revised Total Hip Prosthesis Treated with Deep Lavage and Vacuum Dressings: A Case Report with 4-Year Follow-Up

2021 ◽  
pp. 202-209
Author(s):  
Mohamad Darwish ◽  
Hicham Abdel Nour ◽  
Elias Saidy ◽  
Dany Aouad ◽  
Georgio Lati ◽  
...  

Periprosthetic hip infections are a dreaded complication met among most orthopedic surgeons after arthroplasty procedures especially in susceptible patients. We report a case of a patient with periprosthetic infection after a revised total hip arthroplasty. She was treated with deep lavage and debridement, combined with IV anti-biotherapy and vacuum dressings. A 4-year follow-up shows an infection-free patient with an acceptable functional status and quality of life. Suppression of the infection, with salvage of the prosthesis and maintaining an acceptable functional status, is a satisfactory result that can be achieved in selected cases.

2015 ◽  
Vol 58 ◽  
pp. e42-e43
Author(s):  
E. Tchonda ◽  
N.S. Diagne ◽  
H. Azanmasso ◽  
M. Dione ◽  
S. Zahi ◽  
...  

2012 ◽  
Vol 55 ◽  
pp. e81
Author(s):  
D. Cherqaoui ◽  
A. El Kassimi ◽  
Y. Abdelfettah ◽  
Y. El Anbari ◽  
F. El Midmani ◽  
...  

1999 ◽  
Vol 81 (1) ◽  
pp. 74-82 ◽  
Author(s):  
JOHN S. XENOS ◽  
JOHN J. CALLAGHAN ◽  
R. DAVID HEEKIN ◽  
WILLIAM J. HOPKINSON ◽  
CARLTON G. SAVORY ◽  
...  

1994 ◽  
Vol 4 (2) ◽  
pp. 69-74
Author(s):  
P. Farsetti ◽  
R. Caterini ◽  
V. Barletta ◽  
A. E. Guarnieri ◽  
E. Ippolito

Thirty uncemented porous-coated anatomic (PCA) total hip prostheses were implanted in 27 patients. The average age at the time of surgery was 54 years, and the average follow-up was 4.5 years. The average hip rating score was 88 points. Three patients had thigh pain at follow-up and fifteen had a mild limp, related to a weakness of the gluteus medius and minimus. On radiographic examination, we observed a good bone ingrowth of the implant in all patients. No aseptic loosening was radiographically demonstrated. No relationship was found between pain in the thigh and the various radiographic parameters studied (ra-diodense lines, sclerosis, varus position of the stem).


2019 ◽  
Vol 38 (03) ◽  
pp. 219-226
Author(s):  
Alecio Cristino Evangelista Santos Barcelos ◽  
Sterphany Ohana Soares Azevedo Pinto ◽  
Thaise Ellen de Moura Agra Teixeira ◽  
Rayana Ellen Fernandes Nicolau

AbstractPedicle subtraction osteotomy (PSO) is a powerful tool for the management of sagittal misalignment. However, this procedure has a high rate of implant failure, particularly rod breakages. The four-rod technique diminishes this complication in the lumbar spine. The aim of the present study is to provide a case report regarding PSO and four-rod technique stabilization in the treatment of short-angle hyperkyphosis in the thoracolumbar (TL) junction. The authors describe the case of a patient with TL hyperkyphosis secondary to spinal tuberculosis treated with L1 PSO and fixation with a four-rod technique. There were no major surgical complications. The self-reported quality of life questionnaires (the Short-Form Health Survey 36 [SF-36] and the Oswestry disability index) and radiological parameters were assessed preoperatively, as well as 6, 12 and 24 months after surgery, and they showed considerable and sustained improvements in pain control and quality of life. No hardware failure was observed at the two-year follow-up.


Neurosurgery ◽  
2011 ◽  
Vol 69 (3) ◽  
pp. 566-580 ◽  
Author(s):  
Krishna Kumar ◽  
Syed Rizvi ◽  
Sharon Bishop Bnurs

Abstract BACKGROUND: Complex regional pain syndrome (CRPS) I is a debilitating neuropathic pain disorder characterized by burning pain and allodynia. Spinal cord stimulation (SCS) is effective in the treatment of CRPS I in the medium term but its long-term efficacy and ability to improve functional status remains controversial. OBJECTIVE: To evaluate the ability of SCS to improve pain, functional status, and quality of life in the long term. METHODS: We retrospectively analyzed 25 patients over a mean follow-up period of 88 months. The parameters for evaluation were visual analog scale (VAS), Oswestry Disability Index (ODI), Beck Depression Inventory (BDI), EuroQoL-5D (EQ-5D) and Short Form 36 (SF-36), and drug consumption. Evaluations were conducted at point of entry, 3 months, 12 months, and last follow-up at 88 months (mean). RESULTS: At baseline, the mean scores were VAS 8.4, ODI 70%, BDI 28, EQ-5D 0.30, and SF-36 24. In general, maximum improvement was recorded at follow-up at 3 months (VAS 4.8, ODI 45%, BDI 15, EQ-5D 0.57, and SF-36 45). At last follow-up, scores were 5.6, 50%, 19, 0.57, and 40, respectively. Despite some regression, at last follow-up benefits were maintained and found to be statistically significant (P < .001) compared with baseline. Medication usage declined. SCS did not prevent disease spread to other limbs. Best results were achieved in stage I CRPS I, patients under 40 years of age, and those receiving SCS within 1 year of disease onset. CONCLUSION: SCS improves pain, quality of life, and functional status over the long term and consequently merits early consideration in the treatment continuum.


2009 ◽  
Vol 35 (5) ◽  
pp. 216-220 ◽  
Author(s):  
Renata Vecchiatini ◽  
Nicola Mobilio ◽  
Demis Barbin ◽  
Santo Catapano ◽  
Giorgio Calura

Abstract After surgical treatment for oral cancer, patients often are affected by disfigurements, thwarted function, and psychological and social problems. Prosthodontic rehabilitation has the aim of restoring function and esthetics. Implant-supported prosthodontic rehabilitation is useful for patients with compromised residual ridge anatomy, such as patients with oral cancer following treatment. This clinical report describes the rehabilitation of a patient after mandibular resection with a milled bar-supported implant overdenture. Overdenture achieves best hygienic maintenance, easy soft tissue follow-up, and low realization cost. This rehabilitation increased prosthesis retention and stability and improved oral conditions and the patient's quality of life.


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