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人工膝关节置换后感染:诊断与治疗的新话题

张尧 徐哲 吕浩 冯卫

中国组织工程研究2017,Vol.21Issue(19):3088-3094,7.
中国组织工程研究2017,Vol.21Issue(19):3088-3094,7.DOI:10.3969/j.issn.2095-4344.2017.19.021

人工膝关节置换后感染:诊断与治疗的新话题

Advance in the diagnosis and treatment of infection after total knee arthroplasty

张尧 1徐哲 1吕浩 1冯卫1

作者信息

  • 1. 吉林大学白求恩第一医院骨关节外科,吉林省长春市 130021
  • 折叠

摘要

Abstract

BACKGROUND: With the prevalence of total knee arthroplasty, periprosthetic joint infection as a serious complication has been an issue of concern.OBJECTIVE: To summarize the advances in the diagnosis and treatment of infection after total knee arthroplasty.METHODS: The first author searched the PubMed and CNKI databases for the literatures related to the diagnosis and treatment of infection after total knee arthroplasty using the keywords of "total knee arthroplasty,infection" in English and Chinese, respectively. The repetitive articles were excluded, and the risk factors,diagnosis, classification and treatment of infection after total knee arthroplasty were summarized.RESULTS AND CONCLUSION: (1) The infection after artificial knee replacement is closely related to the patient's preoperative condition, operation skills and postoperative status. (2) Diagnosis of infection is based on the detailed understanding of the patients' situation and complete auxiliary examinations. (3) The treatment methods include antibiotics, debridement and retention, reversion, arthrodesis, as well as amputation. (4) Periprosthetic infection is a serious complication after total knee arthroplasty, and early diagnosis and treatment are critical. Furthermore,choosing an appropriate individualized treatment scheme for different patients is important.

关键词

骨科植入物/人工假体/全膝关节置换/感染/诊断/治疗

分类

医药卫生

引用本文复制引用

张尧,徐哲,吕浩,冯卫..人工膝关节置换后感染:诊断与治疗的新话题[J].中国组织工程研究,2017,21(19):3088-3094,7.

基金项目

吉林省科技厅项目(20160101131JC) (20160101131JC)

吉林省卫生计生科研计划(2015Z031) (2015Z031)

the Project of Science and Technology Department of Jilin University, No. 20160101131JC ()

the Research Program of Health and Family Planning Commission of Jilin Province, No. 2015Z031 ()

中国组织工程研究

OA北大核心CSTPCD

2095-4344

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