Schoifet S D, Morrey B F
Mayo Clinic, Rochester, Minnesota 55905.
J Arthroplasty. 1990 Sep;5(3):277-9. doi: 10.1016/s0883-5403(08)80083-6.
Infection in total knee arthroplasty has been reported to range from 1.1% to 12.4%. The literature contains numerous articles on salvage procedures including antibiotic suppression, surgical debridement, resection arthroplasty, arthrodesis, reimplantation, and amputation. Of those knees not reimplantable, a successful arthrodesis is felt by many to give the most predictable long-term results. The majority of literature on arthrodesis for infected total knee arthroplasty concentrates on technical factors and techniques to facilitate fusion. A successful fusion is considered an end point of treatment.
据报道,全膝关节置换术后感染率在1.1%至12.4%之间。文献中有大量关于挽救手术的文章,包括抗生素抑制、手术清创、关节成形术、关节融合术、再植入和截肢。对于那些无法再植入的膝关节,许多人认为成功的关节融合术能带来最可预测的长期效果。大多数关于感染性全膝关节置换术关节融合术的文献都集中在促进融合的技术因素和技巧上。成功的融合被视为治疗的终点。