哪些指标可用于确定接受感染性全踝关节置换术（TAA）两阶段翻修术部分行关节切除成形术患者再植入的最佳时机？
What Metrics Can Be Used to Determine the Optimal Timing of Reimplantation in Patients Who Have Undergone Resection Arthroplasty as Part of a Two-Stage Exchange for Infected Total Ankle Arthroplasty (TAA)?
机构信息
1 Gustave Dron Hospital Tourcoing France, Lille, France.
2 Department of Foot and Ankle Surgery, J Slullitel Institute of Orthopaedics, Rosario, Argentina.
出版信息
Foot Ankle Int. 2019 Jul;40(1_suppl):58S-60S. doi: 10.1177/1071100719861543.
RECOMMENDATION
There is no conclusive data regarding what metrics can be used in order to determine the optimal timing of reimplantation for an infected TAA. We recommend that reimplantation is performed when there are clinical signs of resolution of infection (well-healed wound, lack of erythema, etc), and the serologic markers have substantially declined (>40%) from baseline (measured at the time of diagnosis of infection).
LEVEL OF EVIDENCE
Consensus.
DELEGATE VOTE
Agree: 100%, Disagree: 0%, Abstain: 0% (Unanimous, Strongest Consensus).
建议
目前尚无确凿数据表明可采用哪些指标来确定感染性 TAA 的最佳再植入时机。我们建议，当感染的临床征象（愈合良好的伤口，无红斑等）得到解决且血清学标志物较基线水平（感染诊断时测量）显著下降（>40%）时，进行再植入。
证据水平
共识。
代表投票
同意：100%，不同意：0%，弃权：0%（一致，最强共识）。
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