Hatz Daniel, Anoushiravani Afshin A, Chambers Monique C, El-Othmani Mouhanad M, Saleh Khaled J
Division of Orthopaedics and Rehabilitation, Southern Illinois University School of Medicine, 701 North First Street, Springfield, IL 62781, USA.
Department of Orthopaedic and Sports Medicine, Detroit Medical Center, 311 Mack Avenue, 5th Floor, Detroit, MI 48201, USA.
Orthop Clin North Am. 2016 Oct;47(4):661-71. doi: 10.1016/j.ocl.2016.05.007. Epub 2016 Aug 6.
Surgical site infection in total joint arthroplasty is a challenging complication that warrants discussion with regard to prevention and management. Limiting postoperative infection rate is a paramount quest in the orthopedic community. Several preoperative risk factors have been identified in orthopedic literature with regards to likelihood of developing postoperative infection. This article evaluates several factors that predispose total joint arthroplasty patients to infection. Methods of patient surgical preparation designed to decrease postoperative infection, decreasing intraoperative traffic during procedural settings, and elaborate intraoperative prophylactic advancements are assessed. Approaches to decrease postoperative infection by discussing means of lowering rates of postoperative transfusion, wound drainage, and hematoma formation are analyzed.
全关节置换术中的手术部位感染是一种具有挑战性的并发症，值得就预防和管理进行讨论。限制术后感染率是骨科领域的首要任务。骨科文献中已经确定了一些与术后感染可能性相关的术前风险因素。本文评估了使全关节置换术患者易发生感染的几个因素。评估了旨在减少术后感染的患者手术准备方法、减少手术过程中的术中人员流动以及精心设计的术中预防措施。分析了通过讨论降低术后输血率、伤口引流和血肿形成率的方法来减少术后感染的途径。
