Implant-associated joint infections

被引：10

作者：

Muehlhofer, Heinrich M. L. ^{[1
]}

Feihl, Susanne ^{[1
]}

Suren, Christian ^{[2
]}

Banke, Ingo J. ^{[1
]}

Pohlig, Florian ^{[1
]}

von Eisenhart-Rothe, Ruediger ^{[1
]}

机构：

[1] Tech Univ Munich, Klinikum Rechts Isar, Klin & Poliklin Orthopadie & Sportorthopadie, Ismaninger Str 22, D-81675 Munich, Germany

[2] Tech Univ Munich, Inst Med Mikrobiol Immunol & Hyg, Munich, Germany

来源：

ORTHOPADE | 2020年 / 49卷 / 03期

关键词：

Periprosthetic infection; Biofilm; Revision surgery; Anti-infective treatment; Surgical treatment; SEPTIC ARTHRITIS; ECONOMIC BURDEN; DIAGNOSIS; HIP; RECONSTRUCTION; ARTHROPLASTY; EFFICACY; RIFAMPIN;

D O I：

10.1007/s00132-020-03877-w

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Due to the increasing number of endoprosthetic joint replacement operations in older patients as well as in patients with severe primary diseases and comorbidities, the number of revision operations is continuously increasing due to infections. The infection of an endoprosthesis represents a complex clinical picture. This article provides a detailed overview of the treatment of periprosthetic infections with a focus on the diagnostic approach and treatment decision-making. A differentiation is made in periprosthetic infections between infections with a mature or immature biofilm on the surface of the implant. Depending on this, different treatment concepts are available. Highly acute infections represent an orthopedic/surgical emergency in artificial as well as in native joints. Low-grade infections play a role particularly in the area of exchange endoprosthetics. The greatest possible success is achieved only by the interplay of a timely diagnosis, sufficient surgical approach and individualized anti-infective treatment.

引用

页码：277 / 286

页数：10