Periprosthetic Knee Infection - Part 2: Treatment.
| Autor: | Barretto JM; Hospital São Vicente da Gávea, Rio de Janeiro, RJ, Brasil., Campos ALS; Departamento de Ortopedia e Traumatologia, Hospital Federal dos Servidores do Estado, Rio de Janeiro, RJ, Brasil., Ooka NHM; Departamento de Ortopedia e Traumatologia, Hospital Universitário Pedro Ernesto, Rio de Janeiro, RJ, Brasil. |
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| Jazyk: | angličtina |
| Zdroj: | Revista brasileira de ortopedia [Rev Bras Ortop (Sao Paulo)] 2022 May 27; Vol. 57 (2), pp. 193-199. Date of Electronic Publication: 2022 May 27 (Print Publication: 2022). |
| DOI: | 10.1055/s-0041-1729936 |
| Abstrakt: | Several treatment modalities are proposed for periprosthetic infections, with variable success rates. However, efficacy is related to the appropriate selection of cases for each type of treatment. Debridement with implant retention is indicated in acute infections with fixed implant, and its success depends on the type of infection, comorbidities of the host, and virulence of the etiological agent. One- or two-stage revision is required in cases in which biofilm is forming, or of implant loosening. The choice between performing the review in one or two stages depends on factors such as etiological agent identification, pathogen virulence, local and systemic host factors. Rescue procedures such as arthrodesis, amputation, resection arthroplasty or even antibiotic suppression are reserved for cases in which the infection has not been eradicated. Competing Interests: Conflito de Interesses Os autores declaram não haver conflito de interesses. Dr. Barreto informa que recebeu honorários pessoais da Stryker Latin America, fora do presente trabalho. (Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ).) |
| Databáze: | MEDLINE |
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