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

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