Article: Gentamicin-loaded sponges; multimodal rehabilitation; nocardial endophthalmitis; acute-onset endophthalmitis.(EVIDENCE FOR PRACTICE)

Gentamicin-loaded sponges in infected total hip arthroplasty

Acta Orthopaedica February 2005

Although prosthesis removal may be recommended for postoperative infection after total hip arthroplasty, several other treatment strategies are available. For early-onset postoperative deep hip prosthesis infection, a combination of debridement, suction-irrigation drainage, and the administration of high-dose antibiotics generally is effective if the treatment is started within 24 to 36 hours of the onset of signs of infection. Treatment involving surgical debridement, irrigation, retention of the prosthesis, and application of several gentamicin-loaded sponges ...

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