踝关节腔内注射皮质类固醇会增加全踝关节置换术后（TAA）假体周围关节感染（PJI）的风险吗？如果是，在先前的关节内注射后多久可以安全地进行 TAA？
Does Intra-articular Injection of the Ankle With Corticosteroids Increase the Risk of Subsequent Periprosthetic Joint Infection (PJI) Following Total Ankle Arthroplasty (TAA)? If So, How Long After a Prior Intra-articular Injection Can TAA Be Safely Performed?
机构信息
1 Infectiology, Balgrist University Hospital, Zurich, Switzerland.
2 St. Alphonsus Regional Medical Center Coughlin Clinic, Boise, ID, USA.
出版信息
Foot Ankle Int. 2019 Jul;40(1_suppl):3S-4S. doi: 10.1177/1071100719857082.
RECOMMENDATION
Every intra-articular injection of the ankle is an invasive procedure associated with potential healthcare-associated infections, including periprosthetic joint infection (PJI) following total ankle arthroplasty (TAA). Based on the limited current literature, the ideal timing for elective TAA after corticosteroid injection for the symptomatic native ankle joint is unknown. The consensus workgroup recommends that at least 3 months pass after corticosteroid injection and prior to performing TAA.
LEVEL OF EVIDENCE
Limited.
DELEGATE VOTE
Agree: 92%, Disagree: 8%, Abstain: 0% (Super Majority, Strong Consensus).
建议
踝关节腔内的每次注射都是一种具有潜在医疗保健相关性感染风险的侵入性操作，包括全踝关节置换术后的假体周围关节感染（PJI）。根据目前有限的文献，对于症状性踝关节行类固醇注射后的择期全踝关节置换术的理想时机尚不清楚。共识工作组建议，在进行全踝关节置换术之前，至少应在类固醇注射后 3 个月。
循证等级
有限。
代表投票
同意：92%，不同意：8%，弃权：0%（超级多数，强烈共识）。
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