感染全膝关节置换术：最严重和最常见的并发症

Q4 Medicine

Orthopaedics and Trauma Pub Date : 2025-02-01 DOI:10.1016/j.mporth.2024.12.006

Lee M Jeys, Romir Patel, Thomas Jenkins, Semay Baydar, Joseph Pagkalos

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引用次数: 0

摘要

假体周围关节感染（PJI）是全膝关节置换术后早期翻修的最常见原因。它与患者预后差、住院时间延长、昂贵的手术干预和在社区的长期治疗有关。尽管手术技术、植入物和手术室技术都有所进步，但PJI仍是关节置换术中尚未解决的问题。随着膝关节置换术的数量不断增加，PJI仍然是卫生服务的一个重大负担。PJI的治疗历来采用两期置换，但在特定病例中，单期翻修手术越来越受欢迎。在这篇综述中，我们的目标是跟随患者从表现到诊断和治疗的过程，并讨论治疗这种毁灭性并发症的当代管理策略。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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The infected total knee replacement: the worst and unfortunately most frequent complication

Periprosthetic joint infection (PJI) is the most common reason for early revision following total knee replacement surgery. It is associated with poor patient outcomes, prolonged inpatient stay, costly surgical interventions and extended treatment in the community. Despite advances in surgical technique, implants and operating room technology, PJI is an unresolved problem in arthroplasty. As the volume of knee replacement procedures continues to increase, PJI continues to be a significant burden for the health service. Treatment of PJI has historically been with two-stage exchange, but with single-stage revision surgery increasing in popularity for selected cases. In this review we aim to follow the patient journey from presentation to diagnosis and treatment, and discuss contemporary management strategies when treating this devastating complication.

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来源期刊

Orthopaedics and Trauma Medicine-Orthopedics and Sports Medicine

CiteScore

1.00

自引率

0.00%

发文量

期刊介绍： Orthopaedics and Trauma presents a unique collection of International review articles summarizing the current state of knowledge and research in orthopaedics. Each issue focuses on a specific topic, discussed in depth in a mini-symposium; other articles cover the areas of basic science, medicine, children/adults, trauma, imaging and historical review. There is also an annotation, self-assessment questions and a second opinion section. In this way the entire postgraduate syllabus will be covered in a 4-year cycle.