Almeida Richard Peter, Mokete Lipalo, Sikhauli Nkhodiseni, Sekeitto Allan Roy, Pietrzak Jurek
Arthroplasty Unit, Division of Orthopaedic Surgery, Charlotte Maxeke Johannesburg Academic Hospital, University of the Witwatersrand, Johannesburg, South Africa.
EFORT Open Rev. 2021 Oct 19;6(10):872-880. doi: 10.1302/2058-5241.6.200054. eCollection 2021 Oct.
Total hip arthroplasty (THA) and total knee arthroplasty (TKA) are successful orthopaedic procedures with an ever-increasing demand annually worldwide, and persistent wound drainage (PWD) is a well-known complication following these procedures. Despite many definitions for PWD having been proposed, a validated description remains elusive.PWD is a risk factor for periprosthetic joint infection (PJI). PJI is a devastating complication of THA and TKA, and a leading cause of revision surgery with dramatic morbidity and mortality and a significant burden on health socioeconomics.Prevention of PJI has become an essential focus in THA and TKA. Understanding the pathophysiology, risk factors and subsequent management of PWD may aid in decreasing the rate of PJI.Risk factors of PWD can be divided into modifiable and non-modifiable patient risk factors, pharmacological and surgical risk factors. No gold standard treatment protocol to address PWD exists; however, non-operative options progressing to surgical interventions have been described.The aim of this study was to review the current literature regarding PWD and consolidate the risk factors and management strategies available. Cite this article: 2021;6:872-880. DOI: 10.1302/2058-5241.6.200054.
全髋关节置换术（THA）和全膝关节置换术（TKA）是成功的骨科手术，在全球范围内其年需求量不断增加，而持续伤口引流（PWD）是这些手术后众所周知的并发症。尽管已经提出了许多关于PWD的定义，但仍难以找到经过验证的描述。PWD是假体周围关节感染（PJI）的一个危险因素。PJI是THA和TKA的一种毁灭性并发症，是翻修手术的主要原因，具有极高的发病率和死亡率，给社会经济健康带来重大负担。预防PJI已成为THA和TKA的一个重要关注点。了解PWD的病理生理学、危险因素及后续处理方法可能有助于降低PJI的发生率。PWD的危险因素可分为可改变和不可改变的患者危险因素、药物和手术危险因素。目前不存在处理PWD的金标准治疗方案；然而，已有人描述了从非手术选择过渡到手术干预的情况。本研究的目的是回顾当前关于PWD的文献，并汇总现有的危险因素和管理策略。引用本文：2021；6：872 - 880。DOI：10.1302/2058 - 5241.6.200054。
