可能感染的全踝关节置换术（TAA）的适应证是什么？
What Are the Indications for Aspiration of a Possibly Infected Total Ankle Arthroplasty (TAA)?
机构信息
1 Department for Orthopedics and Trauma Surgery, University of Bonn, Bonn, Germany.
2 University of Miami/Miller School of Medicine, Miami, FL, USA.
出版信息
Foot Ankle Int. 2019 Jul;40(1_suppl):24S-25S. doi: 10.1177/1071100719859545.
RECOMMENDATION
Whenever a periprosthetic joint infection (PJI) of a total ankle arthroplasty (TAA) is clinically possible or suspected, especially when elevated erythrocyte sedimentation rate (ESR) or C-reactive protein (CRP) levels exist, and in correspondence to the literature on PJI in total hip and knee arthroplasties, joint aspiration is indicated.
LEVEL OF EVIDENCE
Consensus.
DELEGATE VOTE
Agree: 100%, Disagree: 0%, Abstain: 0% (Unanimous, Strongest Consensus).
建议
对于全踝关节置换术后假体周围关节感染（PJI），只要临床疑似或高度怀疑，尤其是红细胞沉降率（ESR）或 C 反应蛋白（CRP）水平升高时，并且根据全髋关节和膝关节置换术后 PJI 的文献，均应进行关节穿刺抽吸。
证据等级
共识。
代表投票
同意：100%，不同意：0%，弃权：0%（一致同意，最强共识）。
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