Saad Maarouf A, Moverman Michael A, Da Silva Adrik Z, Chalmers Peter N
Department of Orthopaedic Surgery, University of California, Davis, Sacramento, CA, USA.
Department of Orthopaedic Surgery, University of Utah, 590 Wakara Way, Salt Lake City, UT, USA.
Curr Rev Musculoskelet Med. 2024 Nov;17(11):456-464. doi: 10.1007/s12178-024-09918-7. Epub 2024 Aug 2.
Reverse shoulder arthroplasty (rTSA) is a commonly performed procedure to treat degenerative conditions of the shoulder. With its growing utilization, techniques to reliably diagnose and treat prosthetic joint infection (PJI) have become increasingly important. In this review we outline the current research and prevention methods of prosthetic joint infection in rTSA. This includes preoperative considerations, intraoperative, and postoperative treatment algorithms.
There is currently no established standardized protocol for preoperative infection prevention or post operative management. However, recent studies have identified risk factors for infection, as well as successful prevention techniques that can be implemented to minimize infection risk. Although there is no standardized protocol currently utilized to diagnose and treat shoulder PJI, we outline a potential set of preventative measures and postoperative management strategies that clinicians can use to properly diagnose and treat patients with this difficult condition.
反式肩关节置换术(rTSA)是治疗肩关节退行性疾病的常用手术。随着其应用的日益广泛,可靠诊断和治疗人工关节感染(PJI)的技术变得越来越重要。在本综述中,我们概述了rTSA中人工关节感染的当前研究及预防方法。这包括术前注意事项、术中及术后治疗方案。
目前尚无用于术前感染预防或术后管理的既定标准化方案。然而,近期研究已确定感染的风险因素,以及可实施以将感染风险降至最低的成功预防技术。虽然目前尚无用于诊断和治疗肩关节PJI的标准化方案,但我们概述了一系列潜在的预防措施和术后管理策略,临床医生可利用这些措施和策略来正确诊断和治疗患有这种疑难病症的患者。