Recurrent Periprosthetic Joint Infections: Diagnosis, Management, and Outcomes.

Autor: Deans CF; Department of Orthopaedic Surgery and Rehabilitation, University of Nebraska Medical Center, 985640 Nebraska Medical Center, Omaha, NE 68198, USA. Electronic address: christopher.deans@unmc.edu., Kildow BJ; Department of Orthopaedic Surgery and Rehabilitation, University of Nebraska Medical Center, 985640 Nebraska Medical Center, Omaha, NE 68198, USA., Garvin KL; Department of Orthopaedic Surgery and Rehabilitation, University of Nebraska Medical Center, 985640 Nebraska Medical Center, Omaha, NE 68198, USA.
Jazyk: angličtina
Zdroj: The Orthopedic clinics of North America [Orthop Clin North Am] 2024 Apr; Vol. 55 (2), pp. 193-206. Date of Electronic Publication: 2023 Oct 10.
DOI: 10.1016/j.ocl.2023.09.002
Abstrakt: Periprosthetic joint infection (PJI) remains one of the most common complications after total joint arthroplasty. It is challenging to manage, associated with significant morbidity and mortality, and is a financial burden on the health care system. Failure of 2-stage management for chronic PJI is not uncommon. Repeat infections are oftentimes polymicrobial, multiple drug-resistant microorganisms, or new organisms. Optimizing the success of index 2-stage revision is the greatest prevention against failure of any subsequent management options and requires a robust team-based approach.
Competing Interests: Disclosure The authors have nothing to disclose.
(Published by Elsevier Inc.)
Databáze: MEDLINE