Northwell Orthopedic Institute, New York, NY.
J Arthroplasty. 2018 Oct;33(10):3109-3112. doi: 10.1016/j.arth.2018.01.025. Epub 2018 Feb 21.
Avoidance of early wound complications is critical to the success of total joint arthroplasty. The magnitude of postoperative complications can be as simple as quickly resolving wound drainage, to persistent wound drainage and full-thickness soft tissue necrosis. Persistent postoperative drainage and wound complications can lead to a devastating deep periprosthetic infection. Attention to several steps in the clinical and perioperative pathway should be addressed to avoid this complication including addressing modifiable patient risk factors, implementing meticulous surgical technique, and following an algorithmic approach in response to persistent wound drainage.
避免早期伤口并发症对于全关节置换术的成功至关重要。术后并发症的严重程度可以从简单的快速解决伤口引流，到持续的伤口引流和全层软组织坏死不等。持续的术后引流和伤口并发症可导致灾难性的深部假体周围感染。应注意临床和围手术期路径中的几个步骤，以避免这种并发症，包括解决可改变的患者危险因素、实施精细的手术技术以及根据持续的伤口引流采取算法方法。
