全踝关节置换术后感染的诊断与处理。
Diagnosing and Managing Infection in Total Ankle Replacement.
机构信息
Department of Foot and Ankle Surgery, Schön Klinik München Harlaching - FIFA Medical Centre, Harlachinger Straße 51, Munich 81547, Germany; Department of Orthopaedics and Trauma Surgery, Musculoskeletal University Center Munich (MUM), University Hospital, LMU Munich, Marchioninistraße 15, München 81377, Germany; Department of Orthopedic Surgery, University of Wuerzburg, Brettreichstrasse 11, Würzburg 97074, Germany; Paracelsus Medical University, Strubergasse 21, Salzburg 5020, Austria.
Pathologie Trier, Max-Planck-Str. 5, Trier 54296, Germany.
出版信息
Foot Ankle Clin. 2024 Mar;29(1):145-156. doi: 10.1016/j.fcl.2023.09.002. Epub 2023 Oct 3.
Infections after total ankle replacement (TAR) within the first 4 weeks after implantation can be managed successfully with 1 or several debridements, irrigation, and a change of polyethylene inlay. Late infections require implant removal. Low-grade infections might be an underestimated problem so far. Although single-surgery revisions are reported in the literature, the authors' experience with 2-stage revisions using an antibiotics-loaded bone cement spacer is better. Additional antibiotics are used to support the surgical treatment. After antibiotic therapy of 12 weeks, the final treatment includes ankle or tibio-talo-calcaneal fusion and, with limitations, revision TAR.
在植入后 4 周内，全踝关节置换（TAR）后的感染可以通过 1 次或多次清创、冲洗和更换聚乙烯衬垫成功治疗。晚期感染需要取出植入物。到目前为止，低度感染可能是一个被低估的问题。尽管文献中有报道单次手术翻修，但作者使用载抗生素骨水泥间隔物进行两阶段翻修的经验更好。额外的抗生素用于支持手术治疗。在 12 周的抗生素治疗后，最终治疗包括踝关节或胫距跟距融合，以及在有限的情况下，TAR 翻修。
Zotero 插件