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假体周围膝关节感染情况下的单阶段翻修全膝关节置换术:适应证、禁忌证及术后结果

Single-Stage Revision Total Knee Arthroplasty in the Setting of Periprosthetic Knee Infection: Indications, Contraindications, and Postoperative Outcomes.

作者信息

Anoushiravani Afshin A, Sayeed Zain, El-Othmani Mouhanad M, Chambers Monique C, Mihalko William M, Jiranek William A, Paprosky Wayne G, Saleh Khaled J

机构信息

Clinical Research Fellow, Department of Orthopaedic Surgery, NYU Langone Medical Center, Hospital for Joint Diseases, New York, New York.

出版信息

Instr Course Lect. 2017 Feb 15;66:235-247.

Abstract

Single-stage revision total knee arthroplasty has become an increasingly common treatment option for patients with failed knee prostheses. Periprosthetic knee infection is the leading and most devastating cause of revision total knee arthroplasty. Although periprosthetic knee infection has been extensively studied in the orthopaedic literature, the role of single-stage revision total knee arthroplasty for the treatment of periprosthetic knee infection warrants further research. As healthcare reform shifts from a volume-based to a value-based system, it is imperative that orthopaedic surgeons understand the procedural indications, risks, and benefits of single-stage revision total knee arthroplasty.

摘要

单阶段翻修全膝关节置换术已成为膝关节假体失败患者越来越常用的治疗选择。假体周围膝关节感染是翻修全膝关节置换术的主要且最具破坏性的原因。尽管假体周围膝关节感染在骨科文献中已得到广泛研究,但单阶段翻修全膝关节置换术在治疗假体周围膝关节感染中的作用仍有待进一步研究。随着医疗改革从基于数量的体系转向基于价值的体系,骨科医生必须了解单阶段翻修全膝关节置换术的手术适应症、风险和益处。

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