美国目前针对膝关节化脓性关节炎的外科治疗方法。
Current surgical practice for septic arthritis of the knee in the United States.
作者信息
Jaffe David, Costales Timothy, Jauregui Julio J, Koenig Scott, Weir Tristan B, Greenwell Patrick, Christian Matthew, Henn R Frank
机构信息
University of Maryland School of Medicine, Department of Orthopaedics, 110 S. Paca St. 6th Floor Suite 300, Baltimore, MD, 21201, USA.
出版信息
J Orthop. 2021 Apr 22;25:88-92. doi: 10.1016/j.jor.2021.04.005. eCollection 2021 May-Jun.
Abstract
For septic arthritis of the knee, we attempted to determine: the preferred surgical technique in the United-States (US), the believed "gold-standard" treatment among others. This was performed by an electronic-survey distributed to all academic orthopaedic faculty throughout the US. The preferred method was arthroscopy (69.8%). Arthroscopy is believed to be the gold-standard in 27.0%, arthrotomy in 29.4%, while 43.5% believe no gold-standard exists. In conclusion the majority of surgeons prefer arthroscopy when managing a native, septic knee in an adult patient. However, there is no national consensus on a gold-standard treatment or the role of synovectomy.
摘要
对于膝关节化脓性关节炎，我们试图确定：美国首选的手术技术，即其他方法中被认为的“金标准”治疗方法。这是通过向美国所有学术性骨科教员进行电子调查来完成的。首选方法是关节镜检查（69.8%）。27.0%的人认为关节镜检查是金标准，29.4%的人认为是切开手术，而43.5%的人认为不存在金标准。总之，在处理成年患者的原发性化脓性膝关节时，大多数外科医生更喜欢关节镜检查。然而，对于金标准治疗方法或滑膜切除术的作用，尚无全国性共识。
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