1. Infection after prosthetic reconstruction in limb salvage surgery
- Author
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Kyu-Sub Lee, Hyo-Sin Kim, Ju-Eun Oh, Kyung Ha Yoo, and Sang Hyub Lee
- Subjects
Adult ,Male ,Reoperation ,medicine.medical_specialty ,Prosthesis-Related Infections ,Adolescent ,medicine.medical_treatment ,Arthrodesis ,Bone Neoplasms ,Prosthesis ,Prosthesis Implantation ,Medicine ,Humans ,Orthopedics and Sports Medicine ,Child ,Original Paper ,Osteosarcoma ,Debridement ,business.industry ,Soft tissue ,Middle Aged ,Limb Salvage ,Prognosis ,Surgery ,Anti-Bacterial Agents ,Plastic surgery ,medicine.anatomical_structure ,Orthopedic surgery ,Upper limb ,Female ,Implant ,business ,Complication ,Follow-Up Studies - Abstract
Among 145 patients that underwent prosthetic reconstruction between 1985 and 1998, infection developed in 18. Osteosarcoma was the most common primary tumour, and staphylococci were the major pathogenic organisms. Infections were controlled in five patients with debridement only and in two patients with a two-stage revision. Arthrodeses were performed in three and amputations in two. In six patients, infection was suppressed with antibiotics but not cured. Pulmonary metastasis developed in four of ten patients in whom chemotherapy was delayed or interrupted. Infection controls were poor in cases of delayed debridement over 2 weeks, in cementless fixation of implant, and soft tissue defects (P
- Published
- 2002