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关节置换术与感染:我们目前的状况如何?

Joint arthroplasty and infection: where do we stand?

作者信息

Vegari David N, Parvizi Javad

机构信息

Department of Orthopaedic Surgery, Thomas Jefferson University, Philadelphia, PA 19107, USA.

出版信息

J Long Term Eff Med Implants. 2011;21(3):225-32. doi: 10.1615/jlongtermeffmedimplants.v21.i3.60.

DOI:10.1615/jlongtermeffmedimplants.v21.i3.60
PMID:22150355
Abstract

With the field of orthopedic surgery making tremendous advances, no one arena has changed more dramatically then total joint arthroplasty. While this kind of surgery has improved quality of life for many patients, it is not without complications. When they do occur, these complications can be devastating and inflict immense burden on patients and the society. Currently, the rate of periprosthetic joint infection ranges from 0.25% to 2.0%. As the number of total joint arthroplasty procedures is expected to rise considerably, these percentages will impose a financial burden on the field of adult reconstruction. The purpose of our paper is to discuss preventative measures that can be taken to curtail infections, the proper diagnosis of such infections, and the appropriate treatment options.

摘要

随着骨外科领域取得巨大进展,没有哪个领域的变化比全关节置换术更为显著。虽然这种手术提高了许多患者的生活质量,但并非没有并发症。当并发症发生时,可能具有毁灭性,并给患者和社会带来巨大负担。目前,假体周围关节感染率在0.25%至2.0%之间。由于全关节置换手术的数量预计将大幅上升,这些百分比将给成人重建领域带来经济负担。我们论文的目的是讨论可采取的预防感染的措施、此类感染的正确诊断以及适当的治疗选择。

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Joint arthroplasty and infection: where do we stand?关节置换术与感染:我们目前的状况如何?
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引用本文的文献

1
Does Preoperative Antimicrobial Prophylaxis Influence the Diagnostic Potential of Periprosthetic Tissues in Hip or Knee Infections?术前抗菌预防是否会影响髋关节或膝关节感染中假体周围组织的诊断潜力?
Clin Orthop Relat Res. 2016 Jan;474(1):258-64. doi: 10.1007/s11999-015-4486-4. Epub 2015 Aug 8.
2
Toll-like receptor 2 in serum: a potential diagnostic marker of prosthetic joint infection?血清 Toll 样受体 2:人工关节感染的潜在诊断标志物?
J Clin Microbiol. 2014 Feb;52(2):620-3. doi: 10.1128/JCM.02727-13. Epub 2013 Nov 13.
3
[Infections in trauma and orthopedic surgery].
[创伤与骨科手术中的感染]
Oper Orthop Traumatol. 2013 Jun;25(3):220-4. doi: 10.1007/s00064-013-0254-3.