인공고관절 전치환술 후 감염성 삽입물 주위 골절에서 항생제 혼합 시멘트 금속판을 이용한 치료 -증례 보고-
Antibiotic-impregnated Cement Plate for the Treatment of Infected Periprosthetic Femoral Fracture after Cementless Total Hip Arthroplasty - A Case Report -
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초록
인공고관절 전치환술 후 감염성 삽입물 주위 골절이 발생한 62세 남자 환자에서 항생제 혼합 시멘트 금속판을 이용한 치료를 시행하였다. 관혈적 정복술 및 금속내 고정술 2개월후 메치실린 내성 포도상구균 심부감염이 발생하였다. 1개월 후 항생제 혼합 시멘트 금속판을 이용하여 골절을 안정화하였다. 12개월 추시 결과 골유합을 얻을 수 있었다. 이 술식은 감염을 근절하고, 통증을 완화하고, 기능을 향상시키는데 유용할 것으로 사료된다.
Abstract
A 62-year-old man with an infected periprosthetic femoral fracture, which occurred after a cementless total hip arthroplasty (THA) procedure, was treated utilizing an antibiotic-impregnated cement plate for internal fixation. Open reduction and internal fixation using a cable plate were initially attempted in his case, but a deep infection with methicillin-resistant staphylococcus epidermidis at the fracture site occurred 2 months after the initial cable plate procedure. Using an antibiotic-impregnated cement plate for internal fixation, one month later, the fracture had stabilized. Successful fusion occurred at 12 months after deploying the antibiotic-impregnated cement plate. This technique was useful in this complicated case because it facilitated the goals of eradicating infection, alleviating pain, and improving function.
참고문헌 (8)
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