哪些检查有助于探查全踝关节置换术（TAA）术后的可能感染？它们的阈值是多少？
What Tests Are Useful to Investigate a Possible Infection of Total Ankle Arthroplasty (TAA)? What Are Their Thresholds?
机构信息
1 Infectiology, Balgrist University Hospital, Zurich, Switzerland.
2 Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA. USA.
出版信息
Foot Ankle Int. 2019 Jul;40(1_suppl):22S-23S. doi: 10.1177/1071100719859537.
RECOMMENDATION
Overall, the approach to a potentially infected total ankle arthroplasty (TAA) does not change compared to other periprosthetic joint infections (PJIs). There are no novel or unique diagnostic procedures for TAA infection, specifically. Joint aspiration or intraoperative tissue/synovial biopsies with microbiological cultures are the most important diagnostic tests for suspected TAA infections. In the absence of specific data related to TAA, the threshold for these tests should be derived from the hip and knee PJI literature.
LEVEL OF EVIDENCE
Strong.
DELEGATE VOTE
Agree: 100%, Disagree: 0%, Abstain: 0% (Unanimous, Strongest Consensus).
建议
与其他假体周围关节感染（PJI）相比，疑似全踝关节置换术（TAA）感染的处理方法并没有改变。TAA 感染并没有独特的新的诊断程序。关节抽吸或术中组织/滑膜活检联合微生物培养是疑似 TAA 感染最重要的诊断性检查。在缺乏与 TAA 相关的具体数据的情况下，这些检查的阈值应来源于髋关节和膝关节 PJI 文献。
循证医学等级
强。
表决结果
同意：100%，不同意：0%，弃权：0%（一致同意，最强共识）。
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