METHOD OF SURGICAL MANAGEMENT OF INFECTED DESTABILISATION OF TOTAL HOP PROSTHESIS

摘要

FIELD: medicine.;SUBSTANCE: invention refers to medicine, namely traumatology and orthopaedics. An acetabular component of the endoprosthesis is removed. After resection sequester necrectomy of a proximal femoral bone and a cotyloid cavity, a base of the diameter of 3-8 cm is formed around a leg of the hip component on the surface of the proximal component femoral bone. A cement spacer impregnated with antibiotics in the form of a whirlbone is formed. During polymerisation, the cement spacer is fixed to the endoprosthesis leg and to the base created on the surface of the proximal femoral bone.;EFFECT: method enables early patient's activation with preserving active joint motion, provides the maintaining antibiotic concentration in an area of inflammation to suppress infection, reduced a number of injures accompanying the sanitising operation conditioned by maintaining a femoral component of the endoprosthesis, creating conditions for the following joint reimplantation.;2 ex, 1 dwg