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ONE-STAGE REVISION SURGERY FOR INFECTED MEGAPROSTHESES

G. Holzer, MD, Orthopaedic Surgeon; R. Windhager, MD, Associate Professor; and R. Kotz, MD, Chairman and Professor of Orthopaedics

University Clinic for Orthopaedics, Wäringer Gürtel 18-20, A-1090 Vienna, Austria.

Correspondence should be sent to Professor R. Kotz.

We have reviewed the results of one-stage revision surgery in 18 patients for infection of megaprostheses implanted after the resection of malignant bone and soft-tissue tumours.

At a mean follow-up of 52.0 ± 35.0 months (18 to 135) infection was eliminated in 14 of the 18 patients. The infection-free patients showed no abnormal tests for inflammation and had a mean Enneking score of 20.6 ± 5.0 points (maximum 30 points).

We suggest that one-stage revision without exchange of the anchorage parts is justified in patients with megaprostheses infected by antibiotic-sensitive micro-organisms.






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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General