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Journal of Orthopaedics and Traumatology

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Open Access 01-03-2008 | Brief Communication

Preventing acute infection in total hip prostheses implanted after external fixation of the femur: is there a need for a staged procedure?

Authors: A. Massè, A. Aprato, E. Guzzi Susini

Published in: Journal of Orthopaedics and Traumatology | Issue 1/2008

Abstract

We report two cases of acute infection of an uncemented femoral component in a hip prosthesis implanted after external fixation of a femoral fracture. In both cases, the surgical access did not cross over the pin scars. When the prosthesis was implanted the stem crossed one or more pin tracts. The preoperative clinical examination, laboratory tests and bone scintigraphy with marked granulocytosis did not show signs of local infection in either case. We suggest that every patient destined to receive a prosthesis after external fixation should be treated with a staged procedure, the first step being excision of the soft tissues around the pin tracts and curettage or drilling of the bony holes, followed by prosthesis implant.

Harwood PJ, Giannoudis PV, Probst C et al (2006) The risk of local infective complications after damage control procedures for femoral shaft fracture. J Orthop Trauma 20:181–189PubMed

Yokoyama K, Uchino M, Nakamura K et al (2005) Risk factors for deep infection in secondary intramedullary nailing after external fixation for open tibial fractures. Injury 37:554–560PubMedCrossRef

Nowotarski PJ, Turen CH, Brumback RJ, Scarboro JM (2000) Conversion of external fixation to intramedullary nailing for fractures of the shaft of the femur in multiply injured patients. J Bone Joint Surg Am 82:781–788PubMedCrossRef

Temple J, Santy J (2004) Pin site care for preventing infections associated with external bone fixators and pins. Cochrane Database Syst Rev 1:CD004551

Moroni A, Vannini F, Mosca M, Giannini S (2002) Pin loosening and infection in external fixation. J Orthop Trauma 16:189–195PubMedCrossRef

Massè A, Bruno A, Bosetti M, Biasibetti A et al (2000) Prevention of pin track infection in external fixation with silver coated pins: clinical and microbiological results. J Biomed Mater Res 53:600–604PubMedCrossRef

Stavlas P, Polyzois D (2005) Septic arthritis of the major joints of the lower limb after periarticular external fixation application: are conventional safe corridors enough to prevent it? Injury 36:239–247PubMedCrossRef

Mahan J, Selgison D, Henry SL et al (1991) Factors in pin tract infections. Orthopaedics 14:305–308

Termaat MF, Raijmakers PG, Scholten HJ et al (2005) The accuracy of diagnostic imaging for the assessment of chronic osteomyelitis: a systematic review and meta-analysis. J Bone Joint Surg Am 87:2464–2471PubMedCrossRef

10.

Hughes DK (2003) Nuclear medicine and infection detection: the relative effectiveness of imaging with 111 In-Oxine-, 99mTc-HMPAO-, and 99mTc-stannous fluoride colloid-labeled leukocytes and with 67 Ga-citrate. J Nucl Med Technol 31:196–201PubMed

Title: Preventing acute infection in total hip prostheses implanted after external fixation of the femur: is there a need for a staged procedure?
Authors: A. Massè
A. Aprato
E. Guzzi Susini
Publication date: 01-03-2008
Publisher: Springer International Publishing
Published in: Journal of Orthopaedics and Traumatology / Issue 1/2008
Print ISSN: 1590-9921
Electronic ISSN: 1590-9999
DOI: https://doi.org/10.1007/s10195-008-0101-8

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Preventing acute infection in total hip prostheses implanted after external fixation of the femur: is there a need for a staged procedure?

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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