Periprostetik Eklem Enfeksiyonunda Tanı ve Tedavi

Periprostetik_Eklem_Enfeksiyonunda_Tani_ve_Tedavi_Kapak

REZEKSİYON ARTROPLASTİSİ VE KALÇA EKLEMİ FÜZYONU

Ali Said Nazlıgül1
İzzet Ḃıngöl2

1Sincan Eğitim ve Araştırma Hastanesi, Ortopedi ve Travmatoloji Kliniği, Ankara, Türkiye
2Ankara Yıldırım Beyazıt Üniversitesi, Ortopedi ve Travmatoloji AD, Ankara, Türkiye

Nazlıgül AS, Bingöl İ. Rezeksiyon Artroplastisi ve Kalça Eklemi Füzyonu. Karaaslan F. editör. Periprostetik Eklem Enfeksiyonunda Tanı ve Tedavi. 1. Baskı. Ankara: Türkiye Klinikleri; 2024. p.125-133.

ÖZET

Rezeksiyon artroplastisi, periprostetik eklem enfeksiyonlarının tedavisinde, özellikle revizyon cerrahisine uygun olmayan hastalarda enfeksiyon kontrolü ve ağrı yönetimi için kullanılır. Girdlestone artroplastisi olarak bilinen bu prosedür, antibiyotiklere dirençli enfeksiyonlar, yetersiz kemik stoku, nöromüsküler hastalıklar ve yürüme yetisi olmayan hastalarda tercih edilir. Cerrahi teknikler femoral ve asetabular protezlerin çıkarılması, derin debritman ve primer yara kapatılmasını içerir. Kalça eklemi füzyonu (artrodezi) ise, genç ve aktif hastalarda tercih edilmektedir. Kalçada ağrı kontrolü ve eklem stabilizasyonu sağlanırken, uzun vadede komşu eklemlerde dejeneratif değişiklikler gelişebilir. Cerrahi teknikler, uygun ekstremite hizalaması ve kalça pozisyonunun ko- runmasını hedefler. Füzyon sonrası bacak uzunluk farkı ve yürüme paterninde değişiklikler görülebilir. Her iki prosedür de uygun hasta seçimiyle başarılı sonuçlar verebilir, ancak postoperatif rehabilitasyon ve komplikasyonların yönetimi önem taşır.

Anahtar Kelimeler: Partroplasti; Replasman; Kalça; Artrodez; Osteoartrit

Referanslar

  1. Ethgen O, Bruyère O, Richy F, Dardennes C, Reginster J-Y. Health-Related Quality of Life in Total Hip and Total Knee Arthroplasty: A Qualitative and Systematic Review of the Literature. JBJS 2004;86(5):963-74. [Crossref]  [PubMed]
  2. Dakin H, Eibich P, Beard D, Gray A, Price A. The use of patient-reported outcome measures to guide referral for hip and knee arthroplasty. Bone Joint J 2020;102-b(7):950-58. [Crossref]  [PubMed]  [PMC]
  3. Ahmed SS, Begum F, Kayani B, Haddad FS. Risk factors, diagnosis and management of prosthetic joint infection after total hip arthroplasty. Expert Rev Med Devices 2019;16(12):1063-70. [Crossref]  [PubMed]
  4. Blom AW, Lenguerrand E, Strange S, Noble SM, Beswick AD, Burston A, et al. Clinical and cost effectiveness of single stage compared with two stage revision for hip prosthetic joint infection (INFORM): pragmatic, parallel group, open label, randomised controlled trial. Bmj 2022;379:e071281. [Crossref]  [PubMed]  [PMC]
  5. Girdlestone G. Arthrodesis and other operations for tuberculosis of the hip. The Robert Jones Birthday Volume: Oxford University Press London, UK 1928:347-74.
  6. Girdlestone Gr. Acute Pyogenic Arthritis of the Hip: An Operation Giving Free Access and Effective Drainage. The Lancet 1943;241(6240):419-21. [Crossref]  [PMC]
  7. Grauer JD, Amstutz HC, O'Carroll PF, Dorey FJ. Resection arthroplasty of the hip. Journal of Bone and Joint Surgery- Series A 1989;71(5):669-78. [Crossref]
  8. Esenwein S, Robert K, Kollig E, Ambacher T, Kutscha-Lissberg F, Muhr G. Long-term results after resection arthroplasty according to Girdlestone for treatment of persisting infections of the hip joint. Der Chirurg; Zeitschrift fur Alle Gebiete der Operativen Medizen 2001;72(11):1336-43. [Crossref]  [PubMed]
  9. Nazemi AK, Upfill-Brown A, Arshi A, Sekimura T, Zeegen EN, McPherson EJ, et al. Analysis of perioperative outcomes in hip resection arthroplasty. Archives of Orthopaedic and Trauma Surgery 2022;142(9):2139-46. [Crossref]  [PubMed]
  10. Bourne R, Hunter G, Rorabeck C, Macnab J. A six-year follow-up of infected total hip replacements managed by Girdlestone's arthroplasty. The Journal of Bone & Joint Surgery British Volume 1984;66(3):340-43. [Crossref]  [PubMed]
  11. Müller R, Schlegel K, Konermann H. Long-term results of the Girdlestone hip. Archives of Orthopaedic and Trauma Surgery 1989;108:359-62. [Crossref]  [PubMed]
  12. Sharma H, Dreghorn CR, Gardner ER. Girdlestone resection arthroplasty of the hip: Current perspectives. Current Orthopaedics 2005;19(5):385-92. [Crossref]
  13. Horan F. Robert Jones, Gathorne Girdlestone and excision arthroplasty of the hip. The Journal of Bone & Joint Surgery British Volume 2005;87(1):104-06. [Crossref]
  14. Ballard WT, Lowry DA, Brand RA. Resection arthroplasty of the hip. The Journal of Arthroplasty 1995;10(6):772-79. [Crossref]  [PubMed]
  15. 15. Herzog T, Link W, Engel S, Beck H. Resection arthroplasty: middle-and long-term results. Archives of Orthopaedic and Trauma Surgery 1989;108:279-81. [Crossref]  [PubMed]
  16. Sharma H, De Leeuw J, Rowley D. Girdlestone resection arthroplasty following failed surgical procedures. International orthopaedics 2005;29:92-95. [Crossref]  [PubMed]  [PMC]
  17. Bombelli R. Osteoarthritis of the Hip: Classification and Pathogenesis : the Role of Osteotomy as a Consequent Therapy: Springer-Verlag 1983. [Crossref]
  18. Chiari K. Medial displacement osteotomy of the pelvis. Clin Orthop Relat Res 1974(98):55-71. [Crossref]  [PubMed]
  19. Evola FR, Evola G, Graceffa A, Sessa A, Pavone V, Costarella L, et al. Performance of the CLS Spotorno uncemented stem in the third decade after implantation. Bone Joint J 2014;96-b(4):455-61. [Crossref]  [PubMed]
  20. McLaughlin JR, Lee KR. Total hip arthroplasty with an uncemented tapered femoral component. J Bone Joint Surg Am 2008;90(6):1290-6. [Crossref]  [PubMed]
  21. Alshammari MO, de Petrillo G, Epure LM, Huk OL, Zukor DJ, Antoniou J. Outcomes of Ceramic-On-Ceramic Bearing Total Hip Arthroplasty: A Minimum 10-Year Follow-Up Study. J Arthroplasty 2023;38(7s):S146-s51. [Crossref]  [PubMed]
  22. Callaghan JJ, Brand RA, Pedersen DR. Hip arthrodesis. A long-term follow-up. J Bone Joint Surg Am 1985;67(9):1328-35. [Crossref]
  23. Banskota B, Yadav P, Rajbhandari A, Aryal R, Bansko- ta AK. Hip arthrodesis in children : a review of 26 cases with a mean of 20 years' follow-up. Bone Joint J 2022;104-b(9):1089-94. [Crossref]  [PubMed]
  24. Farkas A. A New Operative Treatment of Tuberculous Coxitis in Children. Jbjs 1939;21(2):323-33. [Link]
  25. Albee Fh. Arthritis Deformans Of The Hip.: A Preliminary Report of a New Operation. Journal of the American Medical Association 1908;L(24):1977-80. [Crossref]
  26. Mowery CA, Houkom JA, Roach JW, Sutherland DH. A simple method of hip arthrodesis. J Pediatr Orthop 1986;6(1):7-10. [Crossref]  [PubMed]
  27. Schneider R. Hip arthrodesis with the cobra head plate and pelvic osteotomy. Reconstr Surg Traumatol 1974;14(0):1-37. [PubMed]
  28. Jain S, Giannoudis PV. Arthrodesis of the hip and conversion to total hip arthroplasty: a systematic review. J Arthroplasty 2013;28(9):1596-602. [Crossref]  [PubMed]
  29. Clohisy JC, Beaulé PE, O'Malley A, Safran MR, Schoe- necker P. AOA symposium: hip disease in the young adult: current concepts of etiology and surgical treatment. JBJS 2008;90(10):2267-81. [Crossref]  [PubMed]
  30. Beaulé PE, Matta JM, Mast JW. Hip arthrodesis: current indications and techniques. JAAOS-Journal of the American Academy of Orthopaedic Surgeons 2002;10(4):249-58. [Crossref]  [PubMed]
  31. Karol L, Halliday S, Gourineni P. Gait and function after intra-articular arthrodesis of the hip in adolescents. JBJS 2000;82(4):561. [Crossref]
  32. Gore DR, Murray M, Sepic S, Gardner G. Walking patterns of men with unilateral surgical hip fusion. JBJS 1975;57(6):759-65. [Crossref]
  33. Lindahl O. Determination of hip adduction, especially in arthrodesis.ActaOrthopScand1965;36(3):280-93. [Crossref]  [PubMed]
  34. Duncan CP, Spangehl M, Beauchamp C, McGraw R. Hip arthrodesis: an important option for advanced disease in the young adult. Can J Surg 1995;38 Suppl 1:S39-45. [PubMed]
  35. Sponseller PD, McBeath AA, Perpich M. Hip arthrodesis in young patients. A long-term follow-up study. J Bone Joint Surg Am 1984;66(6):853-9. [Crossref]  [PubMed]
  36. Bittersohl B, Zaps D, Bomar JD, Hosalkar HS. Hip arthrodesis in the pediatric population: where do we stand? Orthopedic Reviews 2011;3(2) [Crossref]
  37. Matta J, Siebenrock K, Gautier E, Mehne D, Ganz R. Hip fusion through an anterior approach with the use of a ventral plate. Clinical Orthopaedics and Related Research® 1997;337:129-39. [Crossref]  [PubMed]
  38. Murrell G, Fitch R. Hip fusion in young adults. Using a medial displacement osteotomy and cobra plate. Clinical Orthopaedics and Related Research 1994(300):147-54. [Crossref]  [PubMed]
  39. Dimovski R, Zaltz I. The Contemporary Role for Hip Arthrodesis and Hip Replacement in Adolescents. Journal of the Pediatric Orthopaedic Society of North America 2021;3(1):171. [Crossref]
  40. Murrell GA, Fitch RD. Hip fusion in young adults. Using a medial displacement osteotomy and cobra plate. Clin Orthop Relat Res 1994(300):147-54. [Crossref]  [PubMed]
  41. Waters RL, Barnes G, Husserl T, Silver L, Liss R. Comparable energy expenditure after arthrodesis of the hip and ankle. J Bone Joint Surg Am 1988;70(7):1032-7. [Crossref]
  42. Stover MD, Beaulé PE, Matta JM, Mast JW. Hip arthrodesis: a procedure for the new millennium? Clin Orthop Relat Res 2004(418):126-33. [Crossref]  [PubMed]
  43. Jauregui JJ, Kim JK, Shield WP, 3rd, Harb M, Illical EM, Adib F, et al. Hip fusion takedown to a total hip arthroplasty-is it worth it? A systematic review. Int Orthop 2017;41(8):1535-42. [Crossref]  [PubMed]
  44. Richards CJ, Duncan CP. Conversion of hip arthrodesis to total hip arthroplasty: survivorship and clinical outcome. The Journal of Arthroplasty 2011;26(3):409-13. [Crossref]  [PubMed]
  45. Whitehouse MR, Duncan CP. Conversion of hip fusion to total hip replacement: technique and results. Bone Joint J 2013;95-b(11 Suppl A):114-9. [Crossref]  [PubMed]