Possibility of Infectious Complications Prognosing after Surgical Interventions for a Hip Arthroplasty

Abstract


In the context of any hospital is a risk of infectious complications of surgical intervention after hip arthroplasty. Despite the availability of modern operating, under strict aseptic and antiseptic rules, practically impossible to avoid bacterial contamination of the surgical field during surgery. Therefore, this kind of prediction of complications is important for medical science and practice. In recent years, have become part of everyday life in the system of mathematical modeling course and outcome of disease as therapeutic profile, and surgical pathology. The need for establishment of such systems for the prediction and prevention of postoperative complications during hip arthroplasty great. Among the complications of hip replacement, identified in the area of operations, surgical site infection is most commonly stated - in 2-8% of patients. Several studies have noted the dependence of the frequency of suppuration early on various factors: 71.4% during the intervention marked technical difficulties, 77.7% used additional biological or synthetic materials, 90.0% of the duration of surgery more than 3 hours, 69 2% intra-and postoperative blood loss was more than 1000 ml, with 76.9% of patients pronounced comorbidities. In this case, the observation of deep suppuration in the area of the hip joint is marked in 0.2 - 5% of cases. Presented an overview of the literature allows to navigate in the state of this issue to date.

I.I. Mechnikov North-Western State Medical University, 41 Kirochnaia Str., Saint-Petersburg, 191015, Russian Federation

Author for correspondence.
Email: dorofeev76@list.ru
I.I. Mechnikov North-Western State Medical University , Clinic of Traumatology and Orthopedics, Head of the Department

I.I. Mechnikov North-Western State Medical University, 41 Kirochnaia Str., Saint-Petersburg, 191015, Russian Federation

Email: almira19@yandex.ru
I.I. Mechnikov North-Western State Medical University , Chair of Traumatology, Orthopedics and Military, teaching assistant

I.I. Mechnikov North-Western State Medical University, 41 Kirochnaia Str., Saint-Petersburg, 191015, Russian Federation

Email: Dmitrii.Ptashnikov@spbmapo.ru
I.I. Mechnikov North-Western State Medical University , Chair of Traumatology, Orthopedics and Military Field Surgery, Chief, Doctor of Medical Sciences

I.I. Mechnikov North-Western State Medical University, 41 Kirochnaia Str., Saint-Petersburg, 191015, Russian Federation

Email: stanislavlinnik@mail.ru
I.I. Mechnikov North-Western State Medical University , Chair of Traumatology, Orthopedics and Military Field Surgery, Professor, Doctor of Medical Sciences, Professor

I.I. Mechnikov North-Western State Medical University, 41 Kirochnaia Str., Saint-Petersburg, 191015, Russian Federation

Email: altkachenko@mail.ru
I.I. Mechnikov North-Western State Medical University , Chair of Traumatology, Orthopedics and Military Field Surgery, Professor, Doctor of Medical Sciences

I.I. Mechnikov North-Western State Medical University, 41 Kirochnaia Str., Saint-Petersburg, 191015, Russian Federation

Email: ozharovskih@mail.ru
I.I. Mechnikov North-Western State Medical University , Chair of Traumatology, Orthopedics and Military, teaching assistant

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