医学
假体周围
关节置换术
清创术(牙科)
阶段(地层学)
外科
关节置换术
抗生素
关节感染
随机对照试验
生物
微生物学
古生物学
作者
Beau J. Kildow,Craig DellaValle,Bryan D. Springer
标识
DOI:10.1016/j.arth.2019.10.051
摘要
Periprosthetic joint infection (PJI) is one of the most devastating complications following total joint arthroplasty, accounting for a projected 10,000 revision surgeries per year by 2030. Chronic PJI is complicated by the presence of bacterial biofilm, requiring removal of components, thorough debridement, and administration of antibiotics for effective eradication. Chronic PJI is currently managed with single-stage or 2-stage revision surgery. To date, there are no randomized, prospective studies available evaluating eradication rates and functional outcomes between the 2 techniques. In this review, both treatment options are described with the most current literature to guide effective surgical decision-making that is cost-effective while decreasing patient morbidity.
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