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The Analysis of Postoperative Infection after Total Hip Arthroplasty (the Report of 12 Cases and the Basic Research)

Author: ZhangJingYu
Tutor: WangJinCheng；YuTao
School: Jilin University
Course: Clinical
Keywords: Hip arthroplasty Infection Treatment Silver ions Zeolite Antibacterial
CLC: R684
Type: Master's thesis
Year: 2010
Downloads: 85
Quote: 0
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Abstract

Artificial joint replacement surgery and one of the greatest achievements of the twentieth century orthopedics. Capacity from the application date, the surgical approach achieved satisfactory results in the treatment of joint disease, can effectively improve joint function, increased patient activity, eliminate pain, improve the quality of life of millions of people. However, compared with autologous transplantation, implantation of any biological material will be easier to implant site infections and corresponding orthopedic implant materials in terms of biocompatibility and biomechanical properties still there are many defects, eventually leading to replacement surgery some complications, such as aseptic prosthesis loosening, drug-resistant infections, eventually leading to the artificial joint revision thorny issue. By modern improvements in surgical techniques in joint replacement and improvement of the operating room environment and related regulations, preoperative preparation, the full and progressive, the depth infection after hip replacement, has reduced to 0.5% from 7% to 10% or more less. But once arthroplasty infection occurs, the result will be painful, brought heavy pressure to both doctors and patients. In this paper, the Sino-Japanese Friendship Hospital of Jilin University bone surgical follow-up clinical data from July 2007 to March 2010, menstrual surgical treatment and retrospective study, a comprehensive analysis of the impact hip arthroplasty postoperative infection risk factors, diagnosis of infection and type of infection, provide objective scientific basis for how to scientifically choose surgical way to improve the prognosis of patients, and analyzed on the basis of the experimental results with the College of Chemistry, Jilin University, provide ideas for follow-up study of hip arthroplasty postoperative infection. In this study, the following conclusions can be drawn: a hip replacement surgery erythrocyte sedimentation rate and C-reactive protein persistently positive hip arthroplasty infection should be suspected, and the combination of the two, as infected the renovation patients review indicators. Reduced by preoperative risk factors and intraoperative and postoperative reasonable precautions can significantly reduce hip replacement surgery infection rate. Take different parts of the organization. Revision surgery for bacterial culture and pathological examination of a variety of ways, can confirm the diagnosis of infection type. Revision surgery treatment of a refurbishment and two hip arthroplasty infection better meet the requirements of the patient's functional and less recurrence. 5. Basis of experimental results show that the silver-containing zeolite composite coating can effectively reduce the concentration of bacteria and the bacteria on the surface of the surrounding adhesion, and provide a better basis for the manufacture of new types of antimicrobial prosthesis.

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CLC: > Medicine, health > Surgery > Orthopaedic Surgery ( movement system diseases,orthopedic surgery ) > Joint disease and injury
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