Use of muscular flaps for the treatment of hip prosthetic joint infection: a systematic review

BMC Musculoskeletal Disorders

Review

Maria Rosaria Matrangolo¹  Giuseppe Rovere¹  Antonio Ziranu¹  Domenico De Mauro¹  Elisabetta Pataia¹  Carlo Perisano¹  Marco D’Orio¹  Camillo Fulchignoni¹ 

[1] Department of Orthopedics and Traumatology, Fondazione Policlinico Universitario A. Gemelli IRCSS, Università Cattolica Del Sacro Cuore, Largo Agostino Gemelli 8, 06168, Roma, Italy;

关键词: Arthroplasty;    Hip replacement;    Joint infection;    Hip prosthesis;    Muscular flaps;   

DOI  :  10.1186/s12891-021-04945-8

 received in 2021-12-06, accepted in 2021-12-07,  发布年份 2021

来源: Springer

【 摘 要 】

BackgroundDeep periprosthetic infection after total hip arthroplasty (THA) is a serious and challenging complication for the orthopedic surgeon. Muscular flaps may represent a valid management option for the treatment of this condition. We present a systematic literature review about the use of muscular flaps for the treatment of hip prosthetic joint infection.MethodsThe review is reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Seventy-seven articles, out of 279 titles, were considered eligible for the full-text analysis. Finally 15 studies that met inclusion criteria were included in this review.ResultsOverall, 210 patients (49% males, 48.6% females and 2.4% not reported) suffering from THA infection treated with muscular flaps were collected. The mean age was 69.6 years. Mean follow-up, reported in all studies, was 3.3 years.The results presented by the different authors, highlight the effectiveness of muscular flaps for the treatment of periprosthetic infection, in terms of function, limb salvage, prevention of the recurrences, cost-effectiveness, and quality of life postoperatively.ConclusionsMuscle flaps provide an excellent management option for patients with persistent infection after total hip arthroplasty.

【 授权许可】

CC BY   
© The Author(s) 2021