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骨科植入物相关感染与翻修的动物模型

Animal Models of Orthopedic Implant-Associated Infections and Revisions.

作者信息

Chen Feiyang, Schiffer Naomi E, Song Jie

机构信息

Department of Orthopedics and Physical Rehabilitation, Department of Biochemistry and Molecular Biotechnology, UMass Chan Medical School, Worcester, Massachusetts 01655, United States.

出版信息

ACS Biomater Sci Eng. 2025 Apr 14;11(4):2052-2068. doi: 10.1021/acsbiomaterials.4c02331. Epub 2025 Mar 24.

Abstract

Orthopedic implant-associated infections such as prosthetic joint infections (PJIs) lead to devastating complications for patients and impose significant financial burdens on the healthcare systems. Although the primary orthopedic implant associated infection rate is relatively low (0.3-9%), the reinfection rate after implant revisions can be as high as 20% to 40%. To evaluate novel therapeutic strategies for preventing and treating infections associated with primary and revision implants, it is essential to develop appropriate animal models that closely emulate clinical realities. Here we discuss existing animal models developed for orthopedic implant revision surgeries including small animal models in rats and mice, and larger animal models in rabbits, sheep, and mini-pigs. While larger animal models offer the advantage of more closely mimicking human surgical procedures, implant dimensions, and infection treatment protocols, rodent models are more cost-effective and better suited for screening experimental prophylaxes and therapeutics. Existing animal revision models have focused on primary infections established by () and revisions involving both one-stage and two-stage procedures. Further development of smaller animal implant revision models that implement more clinically relevant surgical procedures and recapitulate polymicrobial infections could facilitate the discovery and more rigorous evaluation of novel implant coating prophylaxes and therapeutics for reducing reinfection rates following implant revisions.

摘要

骨科植入物相关感染,如人工关节感染(PJI),会给患者带来严重并发症,并给医疗系统带来巨大经济负担。尽管原发性骨科植入物相关感染率相对较低(0.3 - 9%),但植入物翻修后的再感染率可高达20%至40%。为了评估预防和治疗与原发性及翻修植入物相关感染的新治疗策略,开发能够紧密模拟临床实际情况的合适动物模型至关重要。在此,我们讨论为骨科植入物翻修手术开发的现有动物模型,包括大鼠和小鼠的小动物模型,以及兔子、绵羊和小型猪的大型动物模型。虽然大型动物模型具有更接近模拟人类手术操作、植入物尺寸和感染治疗方案的优势,但啮齿动物模型更具成本效益,更适合筛选实验性预防措施和治疗方法。现有的动物翻修模型主要集中在由()建立的原发性感染以及涉及一期和二期手术的翻修。进一步开发实施更具临床相关性手术操作并概括多微生物感染的小型动物植入物翻修模型,可能有助于发现和更严格评估新型植入物涂层预防措施和治疗方法,以降低植入物翻修后的再感染率。

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