所有翻修全踝关节置换术（TAA）时都应采集 Culture 样本吗？
Should Culture Samples Be Taken During All Revision Total Ankle Arthroplasty (TAA)?
机构信息
1 Rothman Orthopaedics, Philadelphia, PA, USA.
出版信息
Foot Ankle Int. 2019 Jul;40(1_suppl):31S-32S. doi: 10.1177/1071100719859579.
RECOMMENDATION
We recommend that intraoperative cultures be taken during revision total ankle arthroplasty (TAA). The result of intraoperative cultures should be interpreted together with clinical suspicion for infection and the results of the laboratory and imaging investigations. We also recommend that multiple tissue specimens be collected. Given a lack of evidence for routine intraoperative cultures for revision TAA literature, this recommendation is based on analogous evidence in the total hip and knee replacement literature.
LEVEL OF EVIDENCE
Consensus.
DELEGATE VOTE
Agree: 100%, Disagree: 0%, Abstain: 0% (Unanimous, Strongest Consensus).
建议
在翻修全踝关节置换术（TAA）时，建议进行术中培养。术中培养的结果应与感染的临床怀疑以及实验室和影像学检查的结果一起解读。我们还建议收集多个组织标本。由于缺乏翻修 TAA 文献中常规术中培养的证据，这一建议是基于全髋关节和膝关节置换文献中的类似证据。
循证等级
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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