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关节内注射后人工关节周围感染的风险:肩关节、膝关节和髋关节之间有差异吗?

Risk of Periprosthetic Joint Infection after Intra-Articular Injection: Any Difference among Shoulder, Knee and Hip?

作者信息

Vicenti Giovanni, Albano Federica, Buono Claudio, Passarelli Anna Claudia, Pesare Elisa, Colasuonno Giulia, Ladogana Teresa, Moretti Biagio, Solarino Giuseppe

机构信息

Orthopaedic & Trauma Unit, Department of Translational Biomedicine and Neuroscience (DiBraiN), School of Medicine, University of Bari Aldo Moro, AOU Consorziale "Policlinico", 70124 Bari, Italy.

出版信息

Healthcare (Basel). 2024 May 23;12(11):1060. doi: 10.3390/healthcare12111060.

Abstract

Osteoarthritis is a degenerative joint disease caused by the wear and tear of joint cartilage. The definitive and resolving treatment is prosthetic replacement of the articular surface, the demand of which is on the rise for patients with mild to moderate severity. However, a conservative strategy may be considered that aims to reduce and contain pain symptoms by postponing surgical treatment in the case of worsening that can no longer be otherwise controlled. Intra-articular infiltrations, like other therapeutic strategies, are not without complications, and among these the most feared is joint infection, especially in anticipation of future prosthetic replacement. Is important to avoid periprosthetic joint infections because they represent one of the third most common reasons for revision surgery. Using cases found in the literature, the aim of this article is to determine if there is a real correlation between the type of injections, the number of doses injected and the time between infiltrations and the surgical procedure.

摘要

骨关节炎是一种由关节软骨磨损引起的退行性关节疾病。最终的解决性治疗方法是关节表面的假体置换,对于轻度至中度严重程度的患者,这种需求正在上升。然而,可以考虑一种保守策略,即在病情恶化且无法通过其他方式控制的情况下,通过推迟手术治疗来减轻和控制疼痛症状。关节内注射与其他治疗策略一样,并非没有并发症,其中最令人担忧的是关节感染,尤其是在预期未来进行假体置换的情况下。避免假体周围关节感染很重要,因为它们是翻修手术的第三大常见原因之一。本文旨在通过文献中发现的病例,确定注射类型、注射剂量数量以及两次注射之间的时间与手术之间是否存在真正的关联。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/846b/11171832/30256fe4abe4/healthcare-12-01060-g001.jpg

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