Department of Orthopaedic Surgery, Rothman Orthopaedic Institute, Philadelphia, Pennsylvania.
J Knee Surg. 2021 Nov;34(13):1388-1395. doi: 10.1055/s-0041-1737030. Epub 2021 Oct 2.
Total knee arthroplasty is a widely successful procedure, but a small percentage of patients have a postoperative course complicated by periprosthetic joint infection (PJI). PJI is a difficult problem to diagnose and to treat, and the management of PJI differs, depending on the acuity of the infection. This paper discusses the established and newer technologies developed for the diagnosis of PJI as well as different treatment considerations and surgical solutions currently available.
全膝关节置换术是一种非常成功的手术,但仍有一小部分患者术后出现假体周围关节感染(PJI)。PJI 的诊断和治疗较为困难,其管理方法因感染的急缓而异。本文讨论了目前已确立的和新开发的用于 PJI 诊断的技术,以及当前可用的不同治疗注意事项和手术解决方案。