Konigsberg Beau S, Hartman Curtis W, Hewlett Angela L, Garvin Kevin L
Department of Orthopaedic Surgery and Rehabilitation, University of Nebraska Medical Center, 981080 Nebraska Medical Center, Omaha, NE 68198-1080, USA.
University of Nebraska Medical Center, 985400 Nebraska Medical Center, Omaha, NE 68198-5400, USA.
Orthop Clin North Am. 2014 Jul;45(3):287-93. doi: 10.1016/j.ocl.2014.03.002.
The challenge of confirming the diagnosis of prosthetic hip infection is two-fold. First, the presentation of the patient with a prosthetic hip infection often has limited or few subjective complaints and physical findings, nonconfirmatory inflammatory laboratory markers, and negative culture results. Second, there has not been consistent agreement of the definition of prosthetic join infection. Recent work by the Musculoskeletal Infection Society has created a new uniform definition for research and clinical use that may improve the ability to accurately diagnose prosthetic hip infections individually and share data among different sites for research collaboration.
确诊人工髋关节感染面临两方面挑战。其一,人工髋关节感染患者的临床表现往往主观症状有限或较少,体格检查结果不具确诊性,炎症实验室指标无确诊意义,培养结果为阴性。其二,对于人工关节感染的定义尚未达成一致。肌肉骨骼感染学会最近的工作制定了一个新的统一定义,供研究和临床使用,这可能会提高准确诊断个体人工髋关节感染的能力,并在不同地点之间共享数据以进行研究合作。