人工关节周围感染：当前概念
Periprosthetic joint infection: Current concept.
作者信息
Aggarwal Vinay K, Rasouli Mohammad R, Parvizi Javad
机构信息
Department of Adult Reconstruction Surgery, Rothman Institute of Orthopaedics, Thomas Jefferson University, 925 Chestnut Street, Philadelphia, PA 19107, USA.
出版信息
Indian J Orthop. 2013 Jan;47(1):10-7. doi: 10.4103/0019-5413.106884.
Abstract
Periprosthetic joint infection (PJI) is one of the most devastating and costly complications following total joint arthroplasty (TJA). Diagnosis and management of PJI is challenging for surgeons. There is no "gold standard" for diagnosis of PJI, making distinction between septic and aseptic failures difficult. Additionally, some of the greatest difficulties and controversies involve choosing the optimal method to treat the infected joint. Currently, there is significant debate as to the ideal treatment strategy for PJI, and this has led to considerable international variation in both surgical and nonsurgical management of PJI. In this review, we will discuss diagnosis and management of PJI following TJA and highlight some recent advances in this field.
摘要
人工关节周围感染（PJI）是全关节置换术（TJA）后最具破坏性且成本高昂的并发症之一。对于外科医生而言，PJI的诊断和管理颇具挑战性。PJI的诊断尚无“金标准”，这使得区分感染性和无菌性失败变得困难。此外，一些最大的困难和争议涉及选择治疗感染关节的最佳方法。目前，关于PJI的理想治疗策略存在重大争论，这导致PJI的手术和非手术管理在国际上存在相当大的差异。在本综述中，我们将讨论TJA后PJI的诊断和管理，并重点介绍该领域的一些最新进展。
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