| 摘要 |
FIELD: medicine.SUBSTANCE: invention relates to medicine, namely to surgery, traumatology and orthopedics and can be used for treatment of early paraprosthetic infection in endoprosthetics of hip joint. For this purpose performed are multiple sanitising processing of wound, during each of which clinical-laboratory monitoring of wound process is carried out, encrectomy is performed. Dislocation of hip endoprosthesis component into wound is carried out, stability of fixation of endoprosthesis components is estimated. In case of stable fixation wound lavage with aseptic solution is performed in volume not less than 2 l with pulsing jet. Wound and endoprosthesis bed are filled with antiseptic with 15 minute exposure. Hip component of endoprosthesis is reset. Wound is tightly tamponed with sorption bandage material based on polyacrylate, wound is tightly sutured. Sanitising processing of wound is performed with one day interval. When signs of regeneration in wound, absence of microflora growth in bacteriological test, normalisation of laboratory blood parameters are achieved, delayed secondary suture of wound is performed.EFFECT: method ensures stopping of infection process without application of washing drainages, preservation of maximal volume of soft tissues for wound covering, makes it possible to performed delayed secondary suture and preserve endoprosthesis stability.1 ex |
