Vacuum-assisted closure in the treatment of early hip joint infections
<p>The aim of the present study was to evaluate the efficacy of the vacuum-assisted closure (V.A.C.) system in the treatment of early hip joint infections. 28 patients (11 m / 17 f; mean age 71 y. [43-84]) with early hip joint infections have been treated by means of the V.A.C.-therapy. At lea...
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| Format: | Article |
| Language: | English |
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Ivyspring International Publisher
2009-01-01
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| Series: | International Journal of Medical Sciences |
| Online Access: | http://www.medsci.org/v06p0241.htm |
| _version_ | 1819264158498029568 |
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| author | Jens Kelm, Eduard Schmitt, Konstantinos Anagnostakos |
| author_facet | Jens Kelm, Eduard Schmitt, Konstantinos Anagnostakos |
| author_sort | Jens Kelm, Eduard Schmitt, Konstantinos Anagnostakos |
| collection | DOAJ |
| description | <p>The aim of the present study was to evaluate the efficacy of the vacuum-assisted closure (V.A.C.) system in the treatment of early hip joint infections. 28 patients (11 m / 17 f; mean age 71 y. [43-84]) with early hip joint infections have been treated by means of the V.A.C.-therapy. At least one surgical revision [1-7] has been unsuccessfully performed for infection treatment prior to V.A.C. - application. Pathogen organisms could have been isolated in 22/28 wounds. During revision, cup inlay and prosthesis head have been exchanged and 1-3 polyvinylalcohol sponges inserted into the wound cavity/ periprosthetically at an initial continuous pressure of 200 mm Hg. Postoperatively, a systemic antibiosis was given according to antibiogram. 48-72 h after surgery an alteration from haemorrhagic to serous fluid was observed in the V.A.C.-canister. Afterwards, the pressure was decreased to 150 mm Hg and remained at this level till sponge removal. After a mean period of 9 [3-16] days the inflammation parameters have been retrogressive and the sponges were removed. An infection eradication could be achieved in 26/28 cases. In the two remaining cases the infected prosthesis had to be explanted and a gentamicin-vancomycin-loaded spacer has been implanted, respectively. At a total mean follow-up of 36 [12-87] months no reinfection or infection persistence was observed. The V.A.C.-system can be a valuable contribution in the treatment of early joint infections when properly used. Indications should be early infections with well-maintained soft-tissues for retention of the negative atmospheric pressure.</p> |
| first_indexed | 2024-12-23T20:25:02Z |
| format | Article |
| id | doaj.art-0120682cf75748018f061bfd9428772f |
| institution | Directory Open Access Journal |
| issn | 1449-1907 |
| language | English |
| last_indexed | 2024-12-23T20:25:02Z |
| publishDate | 2009-01-01 |
| publisher | Ivyspring International Publisher |
| record_format | Article |
| series | International Journal of Medical Sciences |
| spelling | doaj.art-0120682cf75748018f061bfd9428772f2022-12-21T17:32:24ZengIvyspring International PublisherInternational Journal of Medical Sciences1449-19072009-01-0165241246Vacuum-assisted closure in the treatment of early hip joint infectionsJens Kelm, Eduard Schmitt, Konstantinos Anagnostakos<p>The aim of the present study was to evaluate the efficacy of the vacuum-assisted closure (V.A.C.) system in the treatment of early hip joint infections. 28 patients (11 m / 17 f; mean age 71 y. [43-84]) with early hip joint infections have been treated by means of the V.A.C.-therapy. At least one surgical revision [1-7] has been unsuccessfully performed for infection treatment prior to V.A.C. - application. Pathogen organisms could have been isolated in 22/28 wounds. During revision, cup inlay and prosthesis head have been exchanged and 1-3 polyvinylalcohol sponges inserted into the wound cavity/ periprosthetically at an initial continuous pressure of 200 mm Hg. Postoperatively, a systemic antibiosis was given according to antibiogram. 48-72 h after surgery an alteration from haemorrhagic to serous fluid was observed in the V.A.C.-canister. Afterwards, the pressure was decreased to 150 mm Hg and remained at this level till sponge removal. After a mean period of 9 [3-16] days the inflammation parameters have been retrogressive and the sponges were removed. An infection eradication could be achieved in 26/28 cases. In the two remaining cases the infected prosthesis had to be explanted and a gentamicin-vancomycin-loaded spacer has been implanted, respectively. At a total mean follow-up of 36 [12-87] months no reinfection or infection persistence was observed. The V.A.C.-system can be a valuable contribution in the treatment of early joint infections when properly used. Indications should be early infections with well-maintained soft-tissues for retention of the negative atmospheric pressure.</p>http://www.medsci.org/v06p0241.htm |
| spellingShingle | Jens Kelm, Eduard Schmitt, Konstantinos Anagnostakos Vacuum-assisted closure in the treatment of early hip joint infections International Journal of Medical Sciences |
| title | Vacuum-assisted closure in the treatment of early hip joint infections |
| title_full | Vacuum-assisted closure in the treatment of early hip joint infections |
| title_fullStr | Vacuum-assisted closure in the treatment of early hip joint infections |
| title_full_unstemmed | Vacuum-assisted closure in the treatment of early hip joint infections |
| title_short | Vacuum-assisted closure in the treatment of early hip joint infections |
| title_sort | vacuum assisted closure in the treatment of early hip joint infections |
| url | http://www.medsci.org/v06p0241.htm |
| work_keys_str_mv | AT jenskelmeduardschmittkonstantinosanagnostakos vacuumassistedclosureinthetreatmentofearlyhipjointinfections |