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감염된 인공 고관절의 치료

Treatment of Infected Total Hip Arthroplasty

배우한|고한석
대한고관절학회 (The Korean Hip Society)|2010.06|Hip and Pelvis|제22권 제2호|pp. 104-110

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참고문헌

키워드

Treatment치료Infection감염합병증Complication고관절 전치환술Total hip arthroplasty2단계 관절 치환술2nd stage arthroplasty

초록

인공 고관절 치환술 후 발생하는 심부 감염은 술 후 발생하는 합병증 중에서 가장 심각한 것이다. 인공 고관절의 감염이 있는 경우 항생제의 치료에 반응하지 않아 염증에 대한 치료가 어려운 경우가 많다. 인공 고관절 전치환술 후에 발생하는 감염은 예방적 항생제 투여 및 수술기구 및 수술실환경의 소독, 그리고 적절한 환자 선택 및 수술 방법의 발달로 인해 감소하고 있다. 그러나 아직도 1차 수술 이후 및 재수술 이후에 1~2%의 감염률을 보이고 있다. 따라서 본 연구에서는 고관절 전치환술을 시행하는데 있어 감염을 일으키는 원인 및 환경 그리고 감염의 진단 및 치료에 대하여 여러 문헌을 통하여 알아보고자 하였다.

Abstract

Deep infection after total hip arthroplasty is one of the most serious post operative complications. Treatment of infection of the hip joint can be made very difficult by poor response to antibiotic therapy. Infection rates of total hip arthroplasty have decreased due to prophylactic antibiotics, sterilization of surgical instruments, cleaner operation environments, Improvement of surgical methods and proper patient selection. Recently, post operative infection rates of primary or revision arthroplasties were reported to still be as high as 1% to 2%. Therefore, the aim of this article is to review the recent literature and to evaluate the cause, environment diagnosis and treatment of infection after total hip arthroplasty.

참고문헌 (42)

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