Division of Joint Replacement Surgery, Department of Orthopaedics and Traumatology, The University of Hong Kong, 26473Queen Mary Hospital, Hong Kong, SAR, China.
J Orthop Surg (Hong Kong). 2020 Sep-Dec;28(3):2309499020947207. doi: 10.1177/2309499020947207.
Periprosthetic joint infection (PJI) remains an important complication with devastating consequences after total joint arthroplasties. With the increasing number of arthroplasties worldwide, the number of PJI will increase correspondingly with a significant economic burden to our healthcare system. It is likely impossible to completely eradicate PJI; hence, assessment and optimization of its risk factors to preventing such a disastrous complication will be the key. There are many strategies to prevent PJI in the preoperative, intraoperative, or postoperative phases. The preoperative assessment provides a unique opportunity to screen and diagnose underlying comorbidities and optimize modifiable risk factors before elective surgeries. In this review, we will focus on current literature in preoperative assessment of various modifiable risk factors and share the experience and practical approach in our institution in preoperative optimization to reduce PJI in total joint arthroplasties.
人工关节置换术后假体周围感染（PJI）仍然是一个重要的并发症，可导致灾难性的后果。随着全球关节置换手术数量的增加，PJI 的数量也将相应增加，给我们的医疗体系带来巨大的经济负担。要完全消除 PJI 几乎是不可能的；因此，评估和优化其风险因素以预防这种灾难性并发症将是关键。在术前、术中和术后阶段有许多策略可以预防 PJI。术前评估提供了一个独特的机会，可以在择期手术前筛查和诊断潜在的合并症，并优化可改变的风险因素。在这篇综述中，我们将重点关注目前关于各种可改变的风险因素的术前评估的文献，并分享我们机构在术前优化方面的经验和实用方法，以降低全关节置换术后 PJI 的发生率。
