Year 2022 Vol. 30 No 4

REVIEWS

I.M. EFREMOV, G.A. SHEVALAEV

VACUUM THERAPY IN THE TREATMENT OF A PATIENT WITH CHRONIC PERIPROSTHETIC INFECTION AFTER TOTAL HIP ARTHROPLASTY

Ulyanovsk State University, Ulyanovsk,
Russian Federation

A clinical observation of the treatment of a patient with chronic deep periprosthetic infection after total hip arthroplasty complicated by arrosive bleeding from the femoral artery and extensive purulent-necrotic lesions of paraarticular soft tissues is presented. The patient underwent complex treatment based on the rehabilitation of the focus of chronic infection with combined etiotropic antibiotic therapy and bacteriophage therapy. After debridement, the patient was started continuous vacuum therapy of the wound using the Suprasorb CNP 1 device (Lohmann & Rauscher, Austria). Change of dressings for 3, 5, 9, 14 days. Variable vacuum therapy was started on the 9th day. On the 15th day from the beginning of vacuum therapy, the wound of the left groin area was plasty with local tissues. Vacuum therapy of the wound was continued for another 7 days. As a result of the complex treatment, it was possible to arrest the infectious and inflammatory process, the wound defects healed, the endoprosthesis was preserved without replacing the modular components. The presented clinical observation demonstrated the effectiveness of an integrated approach with the inclusion of vacuum therapy for the treatment of chronic periprosthetic infection. Further study of the use of vacuum therapy in this category of patients is needed.

Keywords: hip joint, chronic periprosthetic infection, debridement, wound vacuum therapy, bacteriophage therapy
p. 401-407 of the original issue
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Address for correspondence:
432017, Russian Federation,
Ulyanovsk, st. Lev Tolstoy, 42,
Ulyanovsk State University of the Ministry
of Education and Science of the Russian Federation, Department of Hospital Surgery,
Anesthesiology, Resuscitation,
Urology, Traumatology and Orthopedics,
tel.: +79176124177,
e-mail: efremov-im@rambler.ru,
Efremov Ivan M.
Information about the authors:
Efremov Ivan M., PhD, Associate Professor of the Department of Hospital Surgery, Anesthesiology, Resuscitation, Urology, Traumatology and Orthopedics, Ulyanovsk State University, Ulyanovsk, Russian Federation.
https://orcid.org/0000-0002-4625-8424
Shevalaev Gennady A., PhD, Associate Professor, Associate Professor of the Department of Hospital Surgery, Anesthesiology, Resuscitation, Urology, Traumatology and Orthopedics, Ulyanovsk State University, Ulyanovsk, Russian Federation.
https://orcid.org/0000-0002-4089-6994
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