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Rigshospitalet - a part of Copenhagen University Hospital
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Persistent wound drainage after tumor resection and endoprosthetic reconstruction of the proximal femur

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  1. Treatment Algorithm for Patients with Non-arthritic Hip Pain, Suspect for an Intraarticular Pathology

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  1. Surgical Treatment of Metastatic Bone Disease in the Appendicular Skeleton: A Population-Based Study

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  2. Collagen Growth Pattern in Human Articular Cartilage of the Knee

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  3. Udredning og behandling af lipomer

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PURPOSE: To examine the prevalence of prolonged wound drainage (PWD) after tumor resection and endoprosthetic reconstruction of the hip.

METHODS: Retrospective review of 86 consecutive patients with metastatic bone disease, malignant hematologic bone disease or bone sarcoma, treated with tumor resection and subsequent endoprosthetic reconstruction of the proximal femur, between 2010 and 2012, in a single center.

RESULTS: PWD for 7 days or more was observed in 41 cases (48%). The wounds only ceased oozing after a mean of 8.4 days, leading to prolonged administration of prophylactic antibiotics (mean 8.7 days) and length of hospital stay (mean 10.2 days). Total femur replacement, bone sarcoma and additional pelvic reconstruction were identified as significant independent risk factors for an even longer duration of PWD.

CONCLUSION: Compared to conventional hip arthroplasty, PWD appears to be significantly more prevalent in patients undergoing tumor arthroplasty procedures of the hip. Given the potentially increased risk for periprosthetic joint infection (PJI), increased awareness, identification and implementation of adequate strategies for prevention and treatment of this avoidable complication are warranted.

Original languageEnglish
JournalThe Open Orthopaedics Journal
Volume8
Pages (from-to)475-81
Number of pages7
ISSN1874-3250
DOIs
Publication statusPublished - 2014

ID: 45039369