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Vol. 98. Núm. 3.
Páginas 66-77 (enero 2001)
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Vol. 98. Núm. 3.
Páginas 66-77 (enero 2001)
Acceso a texto completo
Artroplastia total de cadera e infección
Total Hip Arthroplasty and infection
Visitas
5115
I. García Sánchez
Servicio de Traumatología y Cirugia Ortopédica. (Jefe de Servicio Dr. Alvarez). Hospital de Galdakao. Galdakao. Bizkaia
Este artículo ha recibido
Información del artículo
Resumen

Una de las complicaciones mâs temidas en la Artroplastia Total de Cadera es la infección de la prótesis.

Su abordaje terapéutico es complejo, controvertido y tiene un alto coste económico.

La prevención se presenta como fundamental y su diagnóstico constituye un reto para el cirujano ya que ninguna prueba tiene una sensibilidad o especificidad del 100%. El recambio protésico asociado a antibióticos es el tratamiento deseable aunque erradicar la infección en ocasiones es difîcil.

El objetivo de esta revisión bibliogrâfica es conocer las tendencias actuales en la prevención, diagnóstico y tratamiento de esta complicación.

Summary

One of the complications more feared in the Total Hip Arthroplasty is the infection of the prothesis.

Their therapeutic boarding is complex, controversial and it has a high economic cost.

The prevention is presented as fundamental and its diagnose it constitutes a challenge since for the surgeon any test has a sensibility or specificity of 100%.

The prosthetic replacement associated to antibiotics is the desirable treatment although to eradicate the infection in occasions is difficult.

The objective of this bibliographical revision is to know the current tendencies in the prevention, diagnostic and treatment of this complication.

Laburpen

Aldakako Artroplastia Osoaren konplikazio kezkagarriena protesiaren infekzioa da. Abordaje terapeutikoa korapilatsua eta eztabaldatua da, eta kostu ekonomiko handia du.

Prebentzioa funtsezkoa da eta diagnostikoa erronka handia da kirurgialariarentzat, ez baitago %100eko sentsibilitate edo espezifikotasunik duen probarik. Antibiotikoei lotuta dagoen aldaketa protesikoa da tratamendu egokiena, baina zenbaitetan, infekzioa desagerraraztea zaila izaten da.

Berrikuspen bibliografiko honen helburu nagusia gaur egun konplikazio honen prebentzioan, diagnostikoan eta tratamenduan dauden joerak ezagutzea da.

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