全髋关节置换术后假体周围关节感染：一种算法式方法
Periprosthetic joint infections after total hip replacement: an algorithmic approach.
作者信息
Sukeik Mohamed, Haddad Fares Sami
机构信息
Foothills Medical Centre, 1403 29 St NW Calgary, AB T2N 2T9, Canada.
University College London Hospital, 235 Euston Road, London NW1 2BU, UK.
出版信息
SICOT J. 2019;5:5. doi: 10.1051/sicotj/2019004. Epub 2019 Feb 28.
Abstract
An algorithm for managing periprosthetic joint infections (PJIs) after total hip replacement (THR) surgery using a multidisciplinary approach and a clearly defined protocol may improve infection eradication rates. In this article, we present an algorithm for the management of different types of PJIs including the acutely infected cemented and cementless THRs where the components are well-fixed postoperatively and when the infection is secondary to haematogenous spread in previously well-functioning and well-fixed implants. For chronic PJIs where the components are often loose, the standard treatment includes a two-stage revision procedure. However, in a highly selected subset of patients, a single-stage approach has been utilised with high rates of eradicating infections.
摘要
一种采用多学科方法和明确规定方案来管理全髋关节置换（THR）术后假体周围关节感染（PJI）的算法，可能会提高感染根除率。在本文中，我们提出了一种针对不同类型PJI的管理算法，包括急性感染的骨水泥型和非骨水泥型THR，其中假体组件在术后固定良好，以及感染继发于血源性传播至先前功能良好且固定良好的植入物。对于组件通常松动的慢性PJI，标准治疗包括两阶段翻修手术。然而，在经过严格挑选的一部分患者中，已采用单阶段方法且感染根除率很高。
相似文献
1
Periprosthetic joint infections after total hip replacement: an algorithmic approach.
SICOT J. 2019;5:5. doi: 10.1051/sicotj/2019004. Epub 2019 Feb 28.
2
One-stage Revision With Catheter Infusion of Intraarticular Antibiotics Successfully Treats Infected THA.
Clin Orthop Relat Res. 2017 Feb;475(2):419-429. doi: 10.1007/s11999-016-4977-y.
3
Cementless two-staged total hip arthroplasty for deep periprosthetic infection.
Clin Orthop Relat Res. 2005 Dec;441:243-9. doi: 10.1097/01.blo.0000194312.97098.0a.
4
Periprosthetic Joint Infection With Fungal Pathogens.
J Arthroplasty. 2018 Aug;33(8):2605-2612. doi: 10.1016/j.arth.2018.03.003. Epub 2018 Mar 13.
5
Debridement and implant retention in the management of hip periprosthetic joint infection: outcomes following guided and rapid treatment at a single centre.
Bone Joint J. 2017 Mar;99-B(3):330-336. doi: 10.1302/0301-620X.99B3.BJJ-2016-0609.R1.
6
Revision following cemented and uncemented primary total hip replacement: a seven-year analysis from the New Zealand Joint Registry.
J Bone Joint Surg Br. 2009 Apr;91(4):451-8. doi: 10.1302/0301-620X.91B4.21363.
7
Two-stage Revision for Periprosthetic Hip and Knee Joint Infections.
Open Orthop J. 2016 Nov 30;10:579-588. doi: 10.2174/1874325001610010579. eCollection 2016.
8
Single-stage Acetabular Revision During Two-stage THA Revision for Infection is Effective in Selected Patients.
Clin Orthop Relat Res. 2017 Aug;475(8):2063-2070. doi: 10.1007/s11999-017-5334-5. Epub 2017 Mar 28.
9
The Role of Highly Selective Implant Retention in the Infected Hip Arthroplasty.
Clin Orthop Relat Res. 2016 Oct;474(10):2157-63. doi: 10.1007/s11999-016-4936-7.
10
The direct anterior approach: treating periprosthetic joint infection of the hip using two-stage revision arthroplasty.
Arch Orthop Trauma Surg. 2020 Feb;140(2):255-262. doi: 10.1007/s00402-019-03317-1. Epub 2019 Dec 3.
引用本文的文献
1
Enhancing Outcomes in Prosthetic Joint Infections: The Significance of the Periprosthetic Joint Infection Tumor, Node, and Metastasis (PJI-TNM) Classification and Biodegradable Antibiotic Beads.
Cureus. 2024 Aug 2;16(8):e66012. doi: 10.7759/cureus.66012. eCollection 2024 Aug.
2
Risk factors for peri-megaprosthetic joint infections in tumor surgery: A systematic review.
SICOT J. 2024;10:19. doi: 10.1051/sicotj/2024008. Epub 2024 May 30.
3
Knee and hip arthroplasty joint surgical site wound infection in end-stage renal disease subjects who underwent dialysis or a kidney transplant: A meta-analysis.
Int Wound J. 2023 Sep;20(7):2811-2819. doi: 10.1111/iwj.14160. Epub 2023 Apr 10.
4
Impact and Modification of the New PJI-TNM Classification for Periprosthetic Joint Infections.
J Clin Med. 2023 Feb 5;12(4):1262. doi: 10.3390/jcm12041262.
5
A Multi-Disciplinary Approach for the Management of Prosthetic Joint Infections: An Australian Perspective.
Malays Orthop J. 2022 Jul;16(2):41-45. doi: 10.5704/MOJ.2207.005.
6
Infectious disease specialists and teamwork strategies worldwide: the World Association against Infection in Orthopedics and Trauma (WAIOT) and SICOT continue to cooperate in fighting musculoskeletal infections.
SICOT J. 2022;8:E1. doi: 10.1051/sicotj/2022031. Epub 2022 Aug 15.
7
Quality of life, infection control, and complication rates using a novel custom-made articulating hip spacer during two-stage revision for periprosthetic joint infection.
Arch Orthop Trauma Surg. 2022 Dec;142(12):4041-4054. doi: 10.1007/s00402-021-04274-4. Epub 2021 Dec 1.
8
Analysis of Failed Two-Stage Procedures with Resection Arthroplasty as the First Stage in Periprosthetic Hip Joint Infections.
J Clin Med. 2021 Nov 5;10(21):5180. doi: 10.3390/jcm10215180.
9
Diagnosis and management of infected arthroplasty.
SICOT J. 2021;7:54. doi: 10.1051/sicotj/2021054. Epub 2021 Nov 1.
10
Dialysis patients have comparable results to patients who have received kidney transplant after total joint arthroplasty: a systematic review and meta-analysis.
EFORT Open Rev. 2021 Aug 10;6(8):618-628. doi: 10.1302/2058-5241.6.200116. eCollection 2021 Aug.
本文引用的文献
1
Hip and Knee Section, Treatment, Prosthesis Factors: Proceedings of International Consensus on Orthopedic Infections.
J Arthroplasty. 2019 Feb;34(2S):S453-S457. doi: 10.1016/j.arth.2018.09.030. Epub 2018 Oct 19.
2
Hip and Knee Section, Diagnosis, Algorithm: Proceedings of International Consensus on Orthopedic Infections.
J Arthroplasty. 2019 Feb;34(2S):S339-S350. doi: 10.1016/j.arth.2018.09.018. Epub 2018 Oct 19.
3
Hip and Knee Section, Outcomes: Proceedings of International Consensus on Orthopedic Infections.
J Arthroplasty. 2019 Feb;34(2S):S487-S495. doi: 10.1016/j.arth.2018.09.035. Epub 2018 Oct 19.
4
Hip and Knee Section, What is the Definition of a Periprosthetic Joint Infection (PJI) of the Knee and the Hip? Can the Same Criteria be Used for Both Joints?: Proceedings of International Consensus on Orthopedic Infections.
J Arthroplasty. 2019 Feb;34(2S):S325-S327. doi: 10.1016/j.arth.2018.09.045. Epub 2018 Oct 22.
5
Introduction: Proceedings of International Consensus on Orthopedic Infections.
J Arthroplasty. 2019 Feb;34(2S):S1-S2. doi: 10.1016/j.arth.2018.09.038. Epub 2018 Oct 22.
6
Serum biomarkers in periprosthetic joint infections.
Bone Joint Res. 2018 Jan;7(1):85-93. doi: 10.1302/2046-3758.71.BJR-2017-0323.
7
Management of Resistant, Atypical and Culture-negative Periprosthetic Joint Infections after Hip and Knee Arthroplasty.
Open Orthop J. 2016 Nov 30;10:615-632. doi: 10.2174/1874325001610010615. eCollection 2016.
8
Biofilm and the Role of Antibiotics in the Treatment of Periprosthetic Hip and Knee Joint Infections.
Open Orthop J. 2016 Nov 30;10:636-645. doi: 10.2174/1874325001610010636. eCollection 2016.
9
Aggressive Early Debridement in Treatment of Acute Periprosthetic Joint Infections After Hip and Knee Replacements.
Open Orthop J. 2016 Nov 30;10:669-678. doi: 10.2174/1874325001610010669. eCollection 2016.
10
One-stage Exchange Arthroplasty for Periprosthetic Hip and Knee Joint Infections.
Open Orthop J. 2016 Nov 30;10:646-653. doi: 10.2174/1874325001610010646. eCollection 2016.
Zotero 插件