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人工髋关节周围感染:当前概念及怀廷顿医院的经验

Periprosthetic hip infection: Current concepts and the Wrightington experience.

作者信息

Sahemey Rajpreet, As-Sultany Mohammed, Wynn Jones Henry, Chitre Amol, Panchani Sunil, Subudhi Chinari Pradeep Kumar, Shah Nikhil

机构信息

Centre for Hip Surgery, Wrightington Hospital, Hall Lane, Apley Bridge, Wigan, Lancashire, WN6 9EP, UK.

出版信息

J Clin Orthop Trauma. 2024 Jul 28;55:102509. doi: 10.1016/j.jcot.2024.102509. eCollection 2024 Aug.

DOI:10.1016/j.jcot.2024.102509
PMID:39184529
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11341938/
Abstract

Total hip arthroplasty (THA) is a highly successful operation performed worldwide in increasing numbers for a wide range of indications. There has been a corresponding rise in the incidence of periprosthetic joint infection of the hip (PJIH), which is a devastating complication. There is a significant variation in the definition, diagnosis and management of PJIH largely due to a lack of high-level evidence. The current standard of practice is largely based on cohort studies from high-volume centres, consensus publications amongst subject experts, and national guidance. This review describes our philosophy and practical approach of managing PJIH at a regional tertiary high-volume joint replacement centre.

摘要

全髋关节置换术(THA)是一种在全球范围内开展得越来越多且适应症广泛的非常成功的手术。髋关节假体周围关节感染(PJIH)的发生率也相应上升,这是一种极具破坏性的并发症。由于缺乏高级别证据,PJIH在定义、诊断和管理方面存在很大差异。目前的实践标准主要基于来自高手术量中心的队列研究、学科专家之间的共识出版物以及国家指南。本综述描述了我们在地区三级高手术量关节置换中心管理PJIH的理念和实际方法。

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本文引用的文献

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Changing the definition of treatment success alters treatment outcomes in periprosthetic joint infection: a systematic review and meta-analysis.改变治疗成功的定义会改变人工关节感染的治疗结果:一项系统评价和荟萃分析。
J Bone Jt Infect. 2024 Apr 26;9(2):127-136. doi: 10.5194/jbji-9-127-2024. eCollection 2024.
2
Diagnosis of periprosthetic hip infection: a clinical update.人工髋关节置换术后感染的诊断:临床新进展。
Acta Biomed. 2023 Jun 23;94(S2):e2023095. doi: 10.23750/abm.v94iS2.13792.
3
Systemic antibiotics are not required for successful two-stage revision hip arthroplasty.对于成功的两阶段翻修髋关节置换术,不需要全身使用抗生素。
Bone Joint J. 2023 May 1;105-B(5):511-517. doi: 10.1302/0301-620X.105B5.BJJ-2022-0373.R2.
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The European Bone and Joint Infection Society definition of periprosthetic joint infection is meaningful in clinical practice: a multicentric validation study with comparison with previous definitions.欧洲骨与关节感染学会的假体周围关节感染定义在临床实践中有意义:一项多中心验证研究,并与先前的定义进行了比较。
Acta Orthop. 2023 Jan 23;94:8-18. doi: 10.2340/17453674.2023.5670.
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BMJ. 2022 Oct 31;379:e071281. doi: 10.1136/bmj-2022-071281.
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