一种用于关节置换术后伤口引流管理的非手术方案。
A nonsurgical protocol for management of postarthroplasty wound drainage.
作者信息
Reich Michael S, Ezzet Kace A
机构信息
Division of Orthopaedic Surgery, Scripps Clinic, La Jolla, CA, USA.
出版信息
Arthroplast Today. 2017 Jul 20;4(1):71-73. doi: 10.1016/j.artd.2017.03.009. eCollection 2018 Mar.
Abstract
Persistent wound drainage after total joint arthroplasty can potentiate periprosthetic joint infection. Although current recommendations are to treat persistent wound drainage with surgical debridement, we believe nonoperative treatment may be successful in selected patients. We performed a retrospective analysis of 25 persistently draining hip and knee arthroplasty wounds treated with a protocol consisting of a combination of surgical site aspiration, closure of open wound edges, cessation of anticoagulants, activity modification, and antibiotics (in select patients). Wound drainage ceased in 24 of 25 wounds treated with this protocol. One patient who continued to drain for 3 more days was successfully treated with surgical debridement and evacuation of hematoma. No patient developed infection. We believe this protocol can be successful in many arthroplasty patients.
摘要
全关节置换术后持续伤口引流可增加假体周围关节感染的风险。尽管目前的建议是通过手术清创来治疗持续伤口引流，但我们认为非手术治疗在部分患者中可能会取得成功。我们对25例髋膝关节置换术后持续引流的伤口进行了回顾性分析，采用了包括手术部位抽吸、闭合开放伤口边缘、停用抗凝剂、调整活动及使用抗生素（部分患者）的方案进行治疗。采用该方案治疗的25个伤口中有24个伤口的引流停止。有1例患者继续引流3天，经手术清创及血肿清除后成功治愈。无患者发生感染。我们认为该方案在许多关节置换患者中可能会取得成功。
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