Diagnosis of Periprosthetic Joint Infection Following Hip and Knee Arthroplasty

被引：102

作者：

Parvizi, Javad ^{[1
]}

Fassihi, Safa Cyrus ^{[1
]}

Enayatollahi, Mohammad A. ^{[1
]}

机构：

[1] Thomas Jefferson Univ Hosp, Rothman Inst, 925 Chestnut St, Philadelphia, PA 19107 USA

来源：

ORTHOPEDIC CLINICS OF NORTH AMERICA | 2016年 / 47卷 / 03期

关键词：

Periprosthetic; Joint; Infection; Diagnosis; Definition; Algorithm; Serology; Aspiration; LEUKOCYTE ESTERASE; REVISION HIP; RISK-FACTORS; FDG-PET; FLUID; UTILITY; PCR; DIFFERENTIATE; SONICATION; PROSTHESES;

D O I：

10.1016/j.ocl.2016.03.001

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

100224 [整形外科学];

摘要：

The diagnosis of periprosthetic joint infection (PJI) following total hip arthroplasty and total knee arthroplasty has been one of the major challenges in orthopedic surgery. As there is no single absolute test for diagnosis of PJI, diagnostic criteria for PJI have been proposed that include using several diagnostic modalities. Focused history, physical examination, plain radiographs, and initial serologic tests should be followed by joint aspiration and synovial analysis. Newer diagnostic techniques, such as alpha-defensin and interleukin-6, hold great promise in the future diagnosis of equivocal infections.

引用

页码：505 / +

页数：12

共 72 条

[1]

Improved Diagnosis of Periprosthetic Joint Infection by Multiplex PCR of Sonication Fluid from Removed Implants [J].

Achermann, Yvonne ;

Vogt, Markus ;

Leunig, Michael ;

Wuest, Juerg ;

Trampuz, Andrej .

JOURNAL OF CLINICAL MICROBIOLOGY, 2010, 48 (04) :1208-1214

[2]

Aggarwal VK, 2013, J ARTHROPLASTY, V28, P193, DOI [10.1016/j.arth.2012.06.023, 10.1016/j.arth.2013.09.028]

[3]

[Anonymous], 1995, JAMA, V273, P1950

[4]

[Anonymous], ACH SURV SURG SIT IN

[5]

[Anonymous], 2012, EXECUTIVE SUMMARY DI, DOI DOI 10.1093/CID/CIS966

[6]

Prospective evaluation of criteria for microbiological diagnosis of prosthetic-joint infection at revision arthroplasty [J].

Atkins, BL ;

Athanasou, N ;

Deeks, JJ ;

Crook, DWM ;

Simpson, H ;

Peto, TEA ;

McLardy-Smith, P ;

Berendt, AR .

JOURNAL OF CLINICAL MICROBIOLOGY, 1998, 36 (10) :2932-2939

[7]

The Mark Coventry Award Diagnosis of Early Postoperative TKA Infection Using Synovial Fluid Analysis [J].

Bedair, Hany ;

Ting, Nicholas ;

Jacovides, Christina ;

Saxena, Arjun ;

Moric, Mario ;

Parvizi, Javad ;

Della Valle, Craig J. .

CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2011, 469 (01) :34-40

[8]

Risk factors for prosthetic joint infection: Case-control study [J].

Berbari, EF ;

Hanssen, AD ;

Duffy, MC ;

Steckelberg, JM ;

Ilstrup, DM ;

Harmsen, WS ;

Osmon, DR .

CLINICAL INFECTIOUS DISEASES, 1998, 27 (05) :1247-1254

[9]

Inflammatory Blood Laboratory Levels as Markers of Prosthetic Joint Infection A Systematic Review and Meta-Analysis [J].

Berbari, Elie ;

Mabry, Tad ;

Tsaras, Geoffrey ;

Spangehl, Mark ;

Erwin, Pat J. ;

Murad, Mohammad Hassan ;

Steckelberg, James ;

Osmon, Douglas .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2010, 92A (11) :2102-2109

[10]

Charnley total hip arthroplasty with cement - Minimum twenty-five-year follow-up [J].

Callaghan, JJ ;

Albright, JC ;

Goetz, DD ;

Olejniczak, JP ;

Johnston, RC .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2000, 82A (04) :487-497

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