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中华关节外科杂志(电子版) ›› 2018, Vol. 12 ›› Issue (06) : 821 -825. doi: 10.3877/cma.j.issn.1674-134X.2018.06.014

所属专题: 文献

综述

人工关节置换术后假体周围感染的临床分类
何人可1, 王津1, 王俏杰1, 沈灏1, 张先龙1,()   
  1. 1. 200233 上海交通大学附属上海市第六人民医院骨科
  • 收稿日期:2018-03-10 出版日期:2018-12-01
  • 通信作者: 张先龙

Clinical classification of periprosthetic joint infection following arthroplasty

Renke He1, jin Wang1, Qiaojie Wang1, Hao Shen1, Xianlong Zhang1,()   

  1. 1. Department of Orthopaedics, Shanghai 6th People’s Hospital Affiliated of Shanghai Jiaotong University, Shanghai 200233, China
  • Received:2018-03-10 Published:2018-12-01
  • Corresponding author: Xianlong Zhang
  • About author:
    Corresponding author: Zhang Xianlong, Email:
引用本文:

何人可, 王津, 王俏杰, 沈灏, 张先龙. 人工关节置换术后假体周围感染的临床分类[J]. 中华关节外科杂志(电子版), 2018, 12(06): 821-825.

Renke He, jin Wang, Qiaojie Wang, Hao Shen, Xianlong Zhang. Clinical classification of periprosthetic joint infection following arthroplasty[J]. Chinese Journal of Joint Surgery(Electronic Edition), 2018, 12(06): 821-825.

假体周围感染(PJI)是关节外科领域临床处理上最为棘手的问题之一。PJI的发生可以出现在关节置换术后任何时期,并且有着复杂多样的临床表现。同时PJI的病情迁延难愈,严重时可以导致截肢甚至危及生命。在针对PJI的治疗中,合理的临床分类能够帮助医生迅速判断病情,搭建对病情综合性评估的框架,进而做出合理化治疗方案选择。目前国际上关于PJI的临床分类还没有足够清晰的划分。毫无疑问,明确的临床分期和分型会对PJI的治疗有重大的意义。本综述旨在总结文献中PJI的不同临床分类角度,常见的临床分类,探讨其合理性,并进一步归纳其与治疗的关系,为PJI的临床分类及治疗策略选择提供参考。

Periprosthetic joint infection (PJI) is one of the most intractable clinical problems in the field of joint surgery. PJI appears in any period after the arthroplasty and has diverse and complex clinical manifestations.Meanwhile, PJI is hard to recover and often recurrent, which can lead to amputation or even life-threatening injures.For better treatment of PJI, a reasonable clinical classification can help doctors understand the condition of infection quickly, set up the framework of comprehensive assessment, and then make a reasonable treatment option. The clinical classification of PJI is not yet clear enough in the world .There is no doubt that clear clinical stages and types of PJI have great significance in the choice of treatment strategies towards PJI. This review aimed to summarize different clinical classified angles and common clinical classifications of PJI in the literature, explore its rationality and its relationship with the treatment, and provided reference for the clinical classification and treatment strategies.

[1]
Bozic KJ, Kurtz SM, Lau E, et al. The epidemiology of revision total hip arthroplasty in the United States[J]. J Bone Joint Surg Am, 2009, 91(1): 128-133.
[2]
Whitehouse MR, Parry MC, Konan S, et al. Deep infection after hip arthroplasty staying current with change [J]. Bone Joint J, 2016, 98B(1, A): 27-30.
[3]
Bozic K, Kurtz SM, Lau E, et al. The epidemiology of revision total knee arthroplasty in the United States[J]. J Arthroplasty,2010,468(1): 45-51.
[4]
Koh CK, Zeng I, Ravi S, et al. Periprosthetic joint infection is the main cause of failure for modern knee arthroplasty: an analysis of 11,134 knees[J]. Clin Orthop Relat Res, 2017, 475(9): 2194-2201.
[5]
Barrett L, Atkins B. The clinical presentation of prosthetic joint infection[J/OL]. J Antimicrob Chemother, 2014, 69(Suppl 1): i25-i27. doi: 10.1093/jac/dku250.
[6]
Triantafyllopoulos G, Poultsides LA, Zhang W, et al. Multiple irrigation and debridements for periprosthetic joint infections: facing a necessity or just prolonging the inevitable?[J]. J Arthroplasty, 2016, 31(1): 219-224.
[7]
Parvizi J, Gehrke T, Chen AF. Proceedings of the international consensus on periprosthetic joint infection[J]. Bone Joint J, 2013, 95-b(11): 1450-1452.
[8]
张先龙,沈灏,王加兴.人工关节假体感染诊治的研究进展[J/CD].中华关节外科杂志(电子版),2017,11(4):327-330.
[9]
Urish KL, Bullock AG, Kreger AM, et al. A multicenter study of irrigation and debridement in total knee arthroplasty periprosthetic joint infection: treatment failure is high[J]. J Arthroplasty, 2018, 33(4): 1154-1159.
[10]
Zahar A, Webb J, Gehrke T, et al. One-stage exchange for prosthetic joint infection of the hip[J]. Hip Int, 2015, 25(4): 301-307.
[11]
Lu J, Han J, Zhang C, et al. Infection after total knee arthroplasty and its gold standard surgical treatment:spacers used in two-stage revision arthroplasty[J]. Intractable Rare Dis Res, 2017, 6(4): 256-261.
[12]
Gottfriedsen TB, Schroder HM, Odgaard A. Knee arthrodesis after failure of knee arthroplasty a nationwide register-based study[J]. J Bone Joint Surg Am, 2016, 98(16): 1370-1377.
[13]
George J, Newman JM, Caravella JW, et al. Predicting functional outcomes after above knee amputation for infected total knee arthroplasty[J]. J Arthroplasty, 2017, 32(2): 532-536.
[14]
Ji BC, Zhang XG, Xu BY, et al. The fate of immunocompromised patients in the treatment of chronic periprosthetic joint infection: a single-centre experience[J]. Int Orthop, 2018, 42(3, SI): 487-498.
[15]
Klement MR, Siddiqi A, Rock JM, et al. Are all periprosthetic joint infections the same? evaluating major vs minor criteria[J]. J Arthroplasty, 2018, 33(5): 1515-1519.
[16]
Jacqueline C, Caillon J. Impact of bacterial biofilm on the treatment of prosthetic joint infections[J]. J Antimicrob Chemother, 2014, 69(1): 37-40.
[17]
Dryden M. Prosthetic joint infection: managing infection in a bionic era[J]. J Antimicrobl Chemother, 2014, 69(1): 3-4.
[18]
Tande AJ, Gomez-Urena EO, Berbari EF, et al. Management of prosthetic joint infection[J]. Infect Dis Clin North Am, 2017, 31(2): 237-252.
[19]
Lamagni T. Epidemiology and burden of prosthetic joint infections[J]. J Antimicrob Chemother, 2014, 69(1): 5-10.
[20]
Borens O, Corona PS, Frommelt L, et al. Algorithm to diagnose delayed and date PJI: role of joint aspiration [J]. Adv Exp Med Biol, 2017, 971:101-111.
[21]
Triantafyllopoulos GK, Soranoglou VG, Sculco TP, et al. Rate and risk factors for periprosthetic joint infection among 36,494 primary total hip arthroplasties[J]. J Arthroplasty, 2018, 33(4): 1166-1170.
[22]
Triantafyllopoulos GK, Soranoglou V, Memtsoudis SG, et al. Implant retention after acute and hematogenous periprosthetic hip and knee infections: whom, when and how?[J]. World J Orthop, 2016, 7(9): 546-552.
[23]
Romano CL, Romano D, Logoluso N, et al. Bone and joint infections in adults:a comprehensive classification proposal[J]. Eur Orthop Traumatol, 2011, 1(6): 207-217.
[24]
Tsukayama DT, Estrada R, Gustilo RB. Infection after total hip arthroplasty. A study of the treatment of one hundred and six infections[J]. J Bone Joint Surg Am, 1996, 78(4): 512-523.
[25]
Tsukayama DT, Goldberg VM, Kyle R. Diagnosis and management of infection after total knee arthroplasty[J]. J Bone Joint Surg Am, 2003, 85A(1): 75-80.
[26]
Zimmerli W, Trampuz A, Ochsner PE. Prosthetic-joint infections[J]. N Engl J Med, 2004, 351(16): 1645-1654.
[27]
Otto-Lambertz C, Yagdiran A, Wallscheid F, et al. Periprosthetic infection in joint replacement[J]. Dtsch Arztebl Int, 2017, 114(20): 347-353.
[28]
Kapadia BH, Berg RA, Daley JA, et al. Periprosthetic joint infection[J]. Lancet, 2016, 387(10016): 386-394.
[29]
Osmon DR, Berbari EF, Berendt AR, et al. Diagnosis and management of prosthetic joint infection: clinical practice guidelines by the Infectious Diseases Society of America[J/OL]. Clin Infect Dis, 2013, 56(1): e1-e25. doi: 10.1093/cid/cis803.
[30]
Koh IJ, Han SB, In Y, et al. Open debridement and prosthesis retention is a viable treatment option for acute periprosthetic joint infection after total knee arthroplasty[J]. Arch Orthop Trauma Surg, 2015, 135(6): 847-855.
[31]
李甲,邵正海,童文文,等.保留假体碘伏冲洗治疗人工关节置换术后急性假体周围感染[J/CD].中华关节外科杂志(电子版),2017,11(4):421-426.
[32]
Zimmerli W. Clinical presentation and treatment of orthopaedic implant-associated infection[J]. J Intern Med, 2014, 276(2): 111-119.
[33]
Poulsen NR, Mechlenburg I, Soballe K, et al. Patient-reported quality of life and hip function after 2-stage revision of chronic periprosthetic hip joint infection: a cross-sectional study [J]. Hip Int,2018,28(4):407-414.
[34]
Veltman ES, Moojen D, Nelissen RG, et al. Antibiotic prophylaxis and DAIR treatment in primary total hip and knee arthroplasty,a national survey in the Netherlands[J]. J Bone Jt Infect, 2018, 3(1): 5-9.
[35]
Narayanan R, Anoushiravani AA, Elbuluk AM, et al. Irrigation and debridement for early periprosthetic knee infection: is it effective?[J]. J Arthroplasty, 2018, 33(6): 1872-1878.
[36]
Lange J, Troelsen A, Solgaard S, et al. Cementless one-stage revision in chronic periprosthetic hip joint infection. Ninety-one percent infection free survival in 56 patients at minimum 2-year follow-up[J]. J Arthroplasty, 2018, 33(4): 1160-1165.
[37]
Bryan AJ, Abdel MP, Sanders TL, et al. Irrigation and debridement with component retention for acute infection after hip arthroplasty improved results with contemporary management[J]. J Bone Joint Surg Am, 2017, 99(23): 2011-2018.
[38]
朱戈,李甲,徐卫东.人工关节置换术后假体周围感染治疗策略选择[J/CD].中华关节外科杂志(电子版),2017,11(4):397-402.
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