Mercuri L G
Department of Orthopedic Surgery, Rush University Medical Center, Chicago, Illinois, USA.
Int J Oral Maxillofac Surg. 2019 Feb;48(2):217-224. doi: 10.1016/j.ijom.2018.09.011. Epub 2018 Oct 11.
Prosthetic joint infections are not only distressing complications for patients and surgeons, but also have an enormous financial impact on healthcare systems. The reported incidence of prosthetic joint infection is likely underestimated due to difficulties in their diagnosis. This unfortunate complication has challenged joint replacement surgeons for years, despite all the advances made in this surgical discipline. Since eradication of these infections can be very difficult, prevention remains the primary objective. Identifying recipient risk factors, adopting a proper surgical technique, appropriate wound care, optimizing the operating room environment, and appropriate postoperative care have become some of the core elements that can help to minimize the overall incidence of this complication. The purpose of this article is to provide the temporomandibular joint replacement surgeon with an update on the prevention and detection of prosthetic joint infections based on a review of the most recent information published in the orthopedic and surgical literature.
人工关节感染不仅给患者和外科医生带来令人痛苦的并发症，还对医疗系统造成巨大的经济影响。由于人工关节感染诊断困难，其报告发病率可能被低估。尽管在这一外科领域取得了诸多进展，但这种不幸的并发症多年来一直困扰着关节置换外科医生。由于根除这些感染可能非常困难，预防仍然是主要目标。识别受者风险因素、采用适当的手术技术、进行恰当的伤口护理、优化手术室环境以及提供适当的术后护理，已成为有助于将这种并发症的总体发生率降至最低的一些核心要素。本文的目的是基于对骨科和外科文献中最新发表信息的综述，为颞下颌关节置换外科医生提供有关人工关节感染预防和检测的最新情况。
