Prosthetic Joint Infections

被引：29

作者：

Chen, Antonia F. ^{[1
]}

Heller, Snir ^{[1
]}

Parvizi, Javad ^{[1
]}

机构：

[1] Rothman Inst, Sidney Kimmel Sch Med, Dept Orthopaed Surg, Philadelphia, PA 19107 USA

来源：

SURGICAL CLINICS OF NORTH AMERICA | 2014年 / 94卷 / 06期

关键词：

Prosthetic joint infection; Diagnosis; Suppressive antibiotics; Irrigation and debridement; One-stage exchange arthroplasty; Two-stage exchange arthroplasty; TOTAL KNEE ARTHROPLASTY; TOTAL HIP-ARTHROPLASTY; ONE-STAGE REVISION; 2-STAGE REIMPLANTATION; ARTICULATING SPACER; PERIPROSTHETIC INFECTIONS; STATIC SPACERS; ANTIBIOTIC-THERAPY; FOLLOW-UP; DEBRIDEMENT;

D O I：

10.1016/j.suc.2014.08.009

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Prosthetic joint infections (PJIs) are often managed by surgical treatment of irrigation and debridement (I&D) in acute infections and 1-stage or 2-stage exchange arthroplasty in chronic infections. Patients who undergo I&D have had lower success rates compared with patients who undergo exchange arthroplasty, especially if resistant organisms are encountered. In patients who cannot undergo surgical reconstruction, resection arthroplasty, fusion, or amputation may be performed. Patients who are poor surgical candidates may be treated with chronic antibiotic suppression. Despite these treatments, PJIs may not be fully eradicated, and future research should be performed to prevent the development of PJIs.

引用

页码：1265 / +

页数：18

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