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[膝关节假体周围感染的治疗算法]

[Treatment algorithm for periprosthetic infections of the knee joint].

作者信息

Lüring C, Lemmen S W, Quack V, Beckmann J, Tingart M, Rath B

机构信息

Klinik für Orthopädie und Unfallchirurgie, Schwerpunkt Orthopädie, Universitätsklinikum Aachen, Pauwelsstr. 30, 52074 Aachen, Deutschland.

出版信息

Orthopade. 2012 Jan;41(1):20-5. doi: 10.1007/s00132-011-1837-z.

DOI:10.1007/s00132-011-1837-z
PMID:22273703
Abstract

Periprosthetic knee joint infection is a rare complication. However, patients as well as surgeons have to deal with severe problems. The past years have brought new knowledge on periprosthetic knee joint infections which have resulted in new classifications. The present manuscript evaluates the current literature on this topic and presents a new therapeutic algorithm.

摘要

人工膝关节周围感染是一种罕见的并发症。然而,患者和外科医生都必须应对严重的问题。在过去几年里,人们对人工膝关节周围感染有了新的认识,这导致了新的分类方法。本手稿评估了关于这一主题的当前文献,并提出了一种新的治疗算法。

相似文献

1
[Treatment algorithm for periprosthetic infections of the knee joint].[膝关节假体周围感染的治疗算法]
Orthopade. 2012 Jan;41(1):20-5. doi: 10.1007/s00132-011-1837-z.
2
[Prophylaxis and treatment of implant-associated infections].[植入物相关感染的预防与治疗]
Orthopade. 2012 Jan;41(1):5. doi: 10.1007/s00132-011-1833-3.
3
Mycobacterium abscessus: A Rare Cause of Periprosthetic Knee Joint Infection.脓肿分枝杆菌:人工膝关节感染的罕见病因。
Am J Orthop (Belle Mead NJ). 2018 Sep;47(9). doi: 10.12788/ajo.2018.0077.
4
Antibiotic Use in Total Knee Arthroplasty Periprosthetic Joint Infection.全膝关节置换术围假体关节感染中的抗生素使用
Clin Infect Dis. 2020 Mar 3;70(6):1259-1260. doi: 10.1093/cid/ciz631.
5
Polymicrobial Periprosthetic Joint Infections: Outcome of Treatment and Identification of Risk Factors.多微生物假体周围关节感染:治疗结果及危险因素识别
J Bone Joint Surg Am. 2016 Dec 21;98(24):2082-2088. doi: 10.2106/JBJS.15.01450.
6
Irrigation and débridement and prosthesis retention for treating acute periprosthetic infections.灌洗清创术联合保留假体治疗急性假体周围感染。
Clin Orthop Relat Res. 2010 Aug;468(8):2024-8. doi: 10.1007/s11999-010-1291-y.
7
[Management of periprosthetic infections of the knee].[膝关节假体周围感染的管理]
Orthopade. 2016 Jan;45(1):65-71. doi: 10.1007/s00132-015-3217-6.
8
Bilateral knee periprosthetic infection with Mycobacterium fortuitum.双侧膝关节假体周围偶然分枝杆菌感染
J Arthroplasty. 2008 Aug;23(5):787-9. doi: 10.1016/j.arth.2007.07.010. Epub 2008 Mar 7.
9
[Periprosthetic hip-TEP infections after dental procedures : Maybe an indication for antibiotic treatment after all?].牙科手术后的人工髋关节周围经皮内镜下穿刺引流感染:终究可能是抗生素治疗的一个指征?
Orthopade. 2018 Jul;47(7):590-593. doi: 10.1007/s00132-018-3572-1.
10
Diagnosis of periprosthetic joint infections of the hip and knee.髋关节和膝关节假体周围感染的诊断。
J Am Acad Orthop Surg. 2010 Dec;18(12):760-70. doi: 10.5435/00124635-201012000-00006.

引用本文的文献

1
[Anterior knee pain after total knee arthroplasty : Causes, diagnosis and treatment].[全膝关节置换术后膝前疼痛:病因、诊断与治疗]
Orthopade. 2016 May;45(5):386-98. doi: 10.1007/s00132-016-3256-7.
2
[Knee joint infections].[膝关节感染]
Unfallchirurg. 2013 Mar;116(3):255-68; quiz 269-70. doi: 10.1007/s00113-012-2325-6.

本文引用的文献

1
What is the role of serological testing between stages of two-stage reconstruction of the infected prosthetic knee?在感染性假体膝关节二期重建的两个阶段之间,血清学检测的作用是什么?
Clin Orthop Relat Res. 2011 Apr;469(4):1002-8. doi: 10.1007/s11999-010-1619-7.
2
Can this prosthesis be saved?: implant salvage attempts in infected primary TKA.这种假体可以保留吗?:感染性初次全膝关节置换术的假体保留尝试。
Clin Orthop Relat Res. 2011 Apr;469(4):970-6. doi: 10.1007/s11999-010-1417-2.
3
[Update on implant related infections in orthopaedic surgery. Diagnosis and treatment].
[骨科手术中植入物相关感染的最新进展。诊断与治疗]
Rev Med Suisse. 2009 Dec 16;5(230):2563-8.
4
Staged revision for knee arthroplasty infection: what is the role of serologic tests before reimplantation?膝关节置换术后感染的分期翻修:再植入前血清学检查的作用是什么?
Clin Orthop Relat Res. 2009 Jul;467(7):1699-705. doi: 10.1007/s11999-009-0742-9. Epub 2009 Feb 25.
5
Two-stage cementless revision of infected hip endoprostheses.感染性髋关节假体的两阶段非骨水泥翻修术。
Clin Orthop Relat Res. 2009 Jul;467(7):1848-58. doi: 10.1007/s11999-008-0611-y. Epub 2008 Nov 11.
6
Prolonged bacterial culture to identify late periprosthetic joint infection: a promising strategy.延长细菌培养时间以识别假体周围关节晚期感染:一种有前景的策略。
Clin Infect Dis. 2008 Dec 1;47(11):1403-9. doi: 10.1086/592973.
7
Perioperative testing for joint infection in patients undergoing revision total hip arthroplasty.接受全髋关节翻修置换术患者的关节感染围手术期检测
J Bone Joint Surg Am. 2008 Sep;90(9):1869-75. doi: 10.2106/JBJS.G.01255.
8
Tissue concentrations of vancomycin and Moxifloxacin in periprosthetic infection in rats.
Acta Orthop. 2007 Dec;78(6):766-73. doi: 10.1080/17453670710014536.
9
Preoperative testing for sepsis before revision total knee arthroplasty.全膝关节置换翻修术前的脓毒症术前检查
J Arthroplasty. 2007 Sep;22(6 Suppl 2):90-3. doi: 10.1016/j.arth.2007.04.013. Epub 2007 Jul 26.
10
Antibiotic prophylaxis and the risk of surgical site infections following total hip arthroplasty: timely administration is the most important factor.全髋关节置换术后抗生素预防与手术部位感染风险:及时给药是最重要的因素。
Clin Infect Dis. 2007 Apr 1;44(7):921-7. doi: 10.1086/512192. Epub 2007 Feb 14.