Prosthetic Joint Infections
2014; Elsevier BV; Volume: 94; Issue: 6 Linguagem: Inglês
10.1016/j.suc.2014.08.009
ISSN1558-3171
AutoresAntonia F. Chen, Snir Heller, Javad Parvizi,
Tópico(s)Total Knee Arthroplasty Outcomes
ResumoProsthetic 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.
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