Treatment of acute periprosthetic infections with prosthesis retention: Review of current concepts
2014; Springer Science+Business Media; Volume: 5; Issue: 5 Linguagem: Inglês
10.5312/wjo.v5.i5.667
ISSN2218-5836
Autores Tópico(s)Total Knee Arthroplasty Outcomes
ResumoPeriprosthetic joint infection (PJI) is a devastating complication after total joint arthroplasty, occurring in approximately 1%-2% of all cases.With growing populations and increasing age, PJI will have a growing effect on health care costs.Many risk factors have been identified that increase the risk of developing PJI, including obesity, immune system deficiencies, malignancy, previous surgery of the same joint and longer operating time.Acute PJI occurs either postoperatively (4 wk to 3 mo after initial arthroplasty, depending on the classification system), or via hematogenous spreading after a period in which the prosthesis had functioned properly.Diagnosis and the choice of treatment are the cornerstones to success.Although different definitions for PJI have been used in the past, most are more or less similar and include the presence of a sinus tract, blood infection values, synovial white blood cell count, signs of infection on histopathological analysis and one or
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