Periprosthetic knee infection: ten strategies that work.
Periprosthetic knee infection: ten strategies that work.
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DOI：
10.5792/ksrr.2013.25.4.155
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发表时间：
2013-12
影响因子：
3.1
通讯作者：
Diaz-Ledezma C
中科院分区：
文献类型：
--
作者：
Parvizi J;Cavanaugh PK;Diaz-Ledezma C
假体周围关节感染（PJI）是全膝关节置换术（TKA）后最严重的并发症之一。TKA的需求正在迅速增加，导致随后涉及膝关节假体的感染增加。尽管存在常见的管理实践，但在管理膝关节假体周围感染的几个方面的最佳方法仍然存在争议。本文综述了目前对PJI管理的以下方面的理解：术前风险分层，术前抗生素，术前皮肤准备，门诊诊断，评估翻修病例中的感染，提高培养效用，冲洗和清创，一期和二期翻修，以及患者预后信息。此外，根据现有文献和作者的经验，对10种治疗膝关节假体周围感染的策略进行了综述。
Periprosthetic joint infection (PJI) is one of the most serious complications following total knee arthroplasty (TKA). The demand for TKA is rapidly increasing, resulting in a subsequent increase in infections involving knee prosthesis. Despite the existence of common management practices, the best approach for several aspects in the management of periprosthetic knee infection remains controversial. This review examines the current understanding in the management of the following aspects of PJI: preoperative risk stratification, preoperative antibiotics, preoperative skin preparation, outpatient diagnosis, assessing for infection in revision cases, improving culture utility, irrigation and debridement, one and two-stage revision, and patient prognostic information. Moreover, ten strategies for the management of periprosthetic knee infection based on available literature, and experience of the authors were reviewed.