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[膝关节感染]

[Knee joint infections].

作者信息

Oestern S, Varoga D, Trompetter R, Lippross S, Klüter T, Weuster M, Schröder O, Seekamp A

机构信息

Abteilung für Unfallchirurgie, Universitätsklinikum Schleswig-Holstein, Campus Kiel, Arnold-Heller-Straße 7, 24105 Kiel.

出版信息

Unfallchirurg. 2013 Mar;116(3):255-68; quiz 269-70. doi: 10.1007/s00113-012-2325-6.

DOI:10.1007/s00113-012-2325-6
PMID:23478901
Abstract

Knee joint infection represents an emergency case at every age. Joint infection occurs frequently after trauma or joint surgery. The infection can be caused by numerous bacteria, viruses, or yeasts; however, Staphylococcus aureus is identified as the cause in 85-95 % of joint infections. Early treatment is important for patient outcome. In addition to synovectomy and therapeutic arthroscopy, antibiotic therapy is essential and should be started after sample recovery.

摘要

膝关节感染在各个年龄段都是急症。关节感染常在创伤或关节手术后频繁发生。感染可由多种细菌、病毒或酵母菌引起;然而,在85%至95%的关节感染病例中,金黄色葡萄球菌被确定为病因。早期治疗对患者预后很重要。除滑膜切除术和治疗性关节镜检查外,抗生素治疗必不可少,且应在采集样本后立即开始。

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本文引用的文献

1
Leukocyte esterase from synovial fluid aspirate: a technical note.滑液抽吸液中的白细胞酯酶:技术说明。
J Arthroplasty. 2013 Jan;28(1):193-5. doi: 10.1016/j.arth.2012.06.023. Epub 2012 Aug 3.
2
[Bacterial septic arthritis as rheumatological emergency].[细菌性化脓性关节炎作为风湿科急症]
Z Rheumatol. 2012 Jun;71(4):288-96. doi: 10.1007/s00393-011-0913-4.
3
[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.
4
Risk of septic arthritis in patients with rheumatoid arthritis and the effect of anti-TNF therapy: results from the British Society for Rheumatology Biologics Register.类风湿关节炎患者发生脓毒性关节炎的风险和抗 TNF 治疗的效果:来自英国风湿病学会生物制剂注册处的结果。
Ann Rheum Dis. 2011 Oct;70(10):1810-4. doi: 10.1136/ard.2011.152769. Epub 2011 Jul 21.
5
Procalcitonin, C-reactive protein, interleukin-6, and soluble intercellular adhesion molecule-1 as markers of postoperative orthopaedic joint prosthesis infections.降钙素原、C 反应蛋白、白细胞介素 6 和可溶性细胞间黏附分子 1 作为术后骨科关节假体感染的标志物。
Int J Immunopathol Pharmacol. 2011 Apr-Jun;24(2):433-40. doi: 10.1177/039463201102400216.
6
Current concepts review: septic arthritis of the knee pathophysiology, diagnostics, and therapy.当前概念回顾:膝关节化脓性关节炎的病理生理学、诊断和治疗。
Wien Klin Wochenschr. 2011 Apr;123(7-8):191-7. doi: 10.1007/s00508-011-1554-y. Epub 2011 Apr 6.
7
Analysis of postoperative knee sepsis after retrograde nail insertion of open femoral shaft fractures.股骨干骨折逆行交锁髓内钉术后膝关节感染的分析。
J Orthop Trauma. 2010 Nov;24(11):677-82. doi: 10.1097/BOT.0b013e3181cec32c.
8
Three-column fixation for complex tibial plateau fractures.三柱固定治疗复杂胫骨平台骨折。
J Orthop Trauma. 2010 Nov;24(11):683-92. doi: 10.1097/BOT.0b013e3181d436f3.
9
[Replacement of infected knee and hip endoprostheses].[感染性膝关节和髋关节假体置换术]
Chirurg. 2010 Apr;81(4):310-20. doi: 10.1007/s00104-009-1842-5.
10
Can procalcitonin measurement help the diagnosis of osteomyelitis and septic arthritis? A prospective trial.降钙素原检测能否帮助诊断骨髓炎和化脓性关节炎?一项前瞻性试验。
Ital J Pediatr. 2009 Nov 4;35(1):33. doi: 10.1186/1824-7288-35-33.