Kim Seung-Ju, Cho Yun Jae
Department of Orthopaedic Surgery, Hanil General Hospital, Seoul, Korea.
Hip Pelvis. 2021 Mar;33(1):11-17. doi: 10.5371/hp.2021.33.1.11. Epub 2021 Mar 2.
The nature of implant-related infections is complex. Currently, there is no definitive test for periprosthetic joint infection (PJI) and diagnosis remains challenging despite recent developments. Failure to diagnose and investigate pathologies of the hip appropriately results in delayed management and prolonged patient morbidity. A systematic approach to establishing clear diagnostic criteria for PJI is needed to improve our ability to avoid devastating outcomes associated with these infections. In the current review, we describe an algorithmic approach to the diagnosis of PJI and current controversies surrounding novel diagnostic methods.
植入物相关感染的性质很复杂。目前,对于人工关节周围感染(PJI)尚无确定性检测方法,尽管有了近期的进展,但诊断仍然具有挑战性。未能对髋关节病变进行适当诊断和调查会导致治疗延迟和患者发病时间延长。需要一种系统的方法来建立明确的PJI诊断标准,以提高我们避免这些感染相关灾难性后果的能力。在当前的综述中,我们描述了一种PJI诊断的算法方法以及围绕新型诊断方法的当前争议。