期刊
INTERNATIONAL JOURNAL OF ARTIFICIAL ORGANS
卷 34, 期 9, 页码 947-956出版社
SAGE PUBLICATIONS LTD
DOI: 10.5301/ijao.5000032
关键词
Total knee arthroplasty; Periprosthetic joint infection; Hematogenous infection; Spacer; Debridement with retention
The number of knee arthroplasty procedures is growing and projected to further increase. The risk for periprosthetic joint infection (PJI) is estimated to be low (<1%). However, considering the increasing number of total knee arthroplasty, the increasing number of patients with multiple comorbidities, and the lifelong risk for acquiring hematogenous infection, the total number of PJI will further increase. Despite existing treatment concepts for PJI of the knee, there are still questions to solve, such as type of debridement surgery in case of implant retention, the role of a spacer from a microbiological perspective, and the optimal duration of antimicrobial therapy. In this review, these questions will be analyzed according to the available literature and the experience of the authors. Moreover, we review the most recent data on infection, risk factors, and microbiology of PJI.
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