Division of Infectious Diseases and Geriatric Medicine, University of Michigan, Ann Arbor, MI 48105, USA.
Infect Dis Clin North Am. 2012 Mar;26(1):29-39. doi: 10.1016/j.idc.2011.09.011.
Prosthetic joint infection (PJI) is a serious complication of total joint arthroplasty (TJA) that can negatively affect functional status and quality of life. This article examines the epidemiology of PJI and reviews current diagnostic, treatment, and management strategies. Diagnosis can be challenging because presenting symptoms are often nonspecific and there is no simple gold standard diagnostic test. Successful treatment of PJI requires a combination of medical and surgical strategies. Given the devastating nature of PJI and the increasing numbers of TJAs performed, prevention efforts remain critical.
人工关节感染(PJI)是全关节置换术(TJA)的严重并发症,可对功能状态和生活质量产生负面影响。本文研究了 PJI 的流行病学,并回顾了当前的诊断、治疗和管理策略。由于临床表现通常不具特异性,并且没有简单的金标准诊断测试,因此诊断具有挑战性。PJI 的成功治疗需要结合医疗和手术策略。鉴于 PJI 的破坏性性质和进行的 TJA 数量不断增加,预防工作仍然至关重要。