Deep Infections in Total Joint Replacements
Autor: | Suhel Kotwal |
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Rok vydání: | 2013 |
Předmět: | |
Zdroj: | Orthopedics. 36:362-363 |
ISSN: | 1938-2367 0147-7447 |
DOI: | 10.3928/01477447-20130426-05 |
Popis: | Define what constitutes a deep prosthetic infection. Contamination, concentration, and multiplication of microorganisms in a joint surgically treated with prosthetic reconstruction constitute deep prosthetic infection. The most frequent microorganisms found are bacteria, but fungal infections are often seen, especially in individuals who are immunocompromised. Acute infections result from the perioperative contamination of the surgical field, and chronic infections are frequently the result of hematogenous spread from a distant focus, including but not limited to, dental, respiratory, gastrointestinal, or genitourinary origin. Toxins released by the microorganisms combine with the body’s inflammatory response, resulting in steady destruction of juxta-articular bone stock, osteolysis, and implant loosening with dramatic medical and socioeconomic sequelae. |
Databáze: | OpenAIRE |
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