지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 63 - 71 (9page)
이용수
초록· 키워드
오류제보하기
Total hip joint replacement offers dramatic improvement in the quality of life but periprosthetic joint infection (PJI) is the most devastating complication of this procedure. The infection threatens the function of the joint, the preservation of the limb, and occasionally even the life of the patient due to long term hospitalization and high cost. For the surgeon it is a disastrous burden, which requires repeated, complicated procedures to eradicate infection and to provide a mobile joint without pain. Yet in the absence of a true gold standard, the diagnosis of PJI can be elusive. Synovial fluid aspiration, diagnostic imaging, traditional culture, peripheral serum inflammatory markers, and intraoperative frozen sections each have their limitations but continue to be the mainstay for diagnosis of PJI. Treatment options mainly include thorough irrigation and debridement with prosthesis retention, or a two-stage prosthesis exchange with intervening placement of an antibiotic-loaded spacer. Success in treating PJI depends on extensive surgical debridement and adequate and effective antibiotic therapy. Treatment in two stages using a spacer is recommended for most chronic PJI. Debridement, antibiotics and implant retention is the obvious choice for treatment of acute PJI, with good success rates in selected patients. This article presents an overview of recent management concepts for PJI of the hip emphasizing diagnosis and the clinical approach, and also share own experience at our institution.
목차
등록된 정보가 없습니다.
참고문헌 (22)
참고문헌 신청
Ali F / 2006 / Accuracy of joint aspiration for the preoperative diagnosis of infection in total hip arthroplasty / J Arthroplasty 21 : 221 ~ 226
Barrack RL / 1993 / The value of aspiration of the hip joint before revision total hip arthroplasty / J Bone Joint Surg Am 75 : 66 ~ 76
Crockarell JR / 1998 / Treatment of infection with debridement and retention of the components following hip arthroplasty / J Bone Joint Surg Am 80 : 1306 ~ 1313
Fehring TK / 1996 / Aspiration as a guide to sepsis in revision total hip arthroplasty / J Arthroplasty 11 : 543 ~ 547
Fitzgerald RH Jr / 1977 / Deep wound sepsis following total hip arthroplasty / J Bone Joint Surg Am 59 : 847 ~ 855
Barrack RL / 1993 / The value of aspiration of the hip joint before revision total hip arthroplasty / J Bone Joint Surg Am 75 : 66 ~ 76
Crockarell JR / 1998 / Treatment of infection with debridement and retention of the components following hip arthroplasty / J Bone Joint Surg Am 80 : 1306 ~ 1313
Fehring TK / 1996 / Aspiration as a guide to sepsis in revision total hip arthroplasty / J Arthroplasty 11 : 543 ~ 547
Fitzgerald RH Jr / 1977 / Deep wound sepsis following total hip arthroplasty / J Bone Joint Surg Am 59 : 847 ~ 855
함께 읽어보면 좋을 논문
논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!
-
Current Diagnostic Methods for Periprosthetic Joint Infection
대한의생명과학회지
2022 .03
-
Current and Future Burden of Periprosthetic Joint Infection from National Claim Database
Journal of Korean Medical Science
2020 .01
-
Current Guideline for Diagnosis of Periprosthetic Joint Infection: A Review Article
Hip and Pelvis
2021 .01
-
Management of Periprosthetic Joint Infection
Hip and Pelvis
2018 .01
-
A Review of the Literature on CultureNegative Periprosthetic Joint Infection: Epidemiology, Diagnosis and Treatment
Knee Surgery and Related Research
2017 .01
-
Evidence-based Approach for Prevention of Surgical Site Infection
Hip and Pelvis
2024 .09
-
Diagnostic Methods for Prosthetic Joint Infection in Korea
Infection and Chemotherapy
2018 .01
-
Lower Urinary Tract Infection and Periprosthetic Joint Infection after Elective Primary Total Hip Arthroplasty
Hip and Pelvis
2017 .01
-
Should a Urinary Tract Infection Be Treated before a Total Joint Arthroplasty?
Hip and Pelvis
2019 .01
-
Utility of 16S rRNA PCR in the Synovial Fluid for the Diagnosis of Prosthetic Joint Infection
Annals of Laboratory Medicine
2018 .01
-
Clinical outcomes of two-stage revision for chronic periprosthetic joint infection of the knee: culture-negative versus culture-positive
Knee Surgery and Related Research
2021 .12
-
Kikuchi-Fujimoto Disease Misdiagnosed as Relapse of the Infection after Treatment of Periprosthetic Hip Joint Infection
Hip and Pelvis
2016 .01
-
Debridement, antibiotics, and implant retention in infected shoulder arthroplasty caused by Serratia marcescens:a case report
대한견주관절의학회지
2022 .06
-
Stenotrophomonas maltophilia Periprosthetic Joint Infection after Hip Revision Arthroplasty
Hip and Pelvis
2023 .06
-
Periprostetic Joint Infection Caused by Salmonella: Case Reports of Two Azathioprine and Prednisolone Induced-immunocompromised Patients
Hip and Pelvis
2017 .06
-
Comprehensive Guidance for the Prevention of Periprosthetic Joint Infection After Total Joint Arthroplasty and Pitfalls in the Prevention
Journal of Korean Medical Science
2024 .04
-
Are Accuracy Studies for Periprosthetic Joint Infection Diagnosis Inherently Flawed? And What to Do with Schrödinger’s Hips? A Prospective Analysis of the Alpha Defensin Lateral-Flow Test in Chronic Painful Hip Arthroplasties
Hip and Pelvis
2022 .12
-
Short-term outcomes of two-stage reverse total shoulder arthroplasty with antibiotic-loaded cement spacer for shoulder infection
대한견주관절의학회지
2022 .09
-
Reducing Dislocations of Antibiotic Hip Spacers via Hybrid Cement-screw Constrained Liner Fixation: A Case Series
Hip and Pelvis
2020 .01
이 논문의 저자 정보
최근 본 자료
댓글(0)
0