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诊断人工关节周围感染的新兴技术

Emerging Technologies in Diagnosing Periprosthetic Joint Infections.

作者信息

Alrayes Majd M, Sukeik Mohamed T

机构信息

Department of Trauma & Orthopedics, Dammam Medical Complex, Dammam, 32210 Saudi Arabia.

Department of Trauma & Orthopaedics, Dr. Sulaiman Al-Habib Hospital-Al Khobar, Al Khobar, 34423 Saudi Arabia.

出版信息

Indian J Orthop. 2023 Apr 17;57(5):643-652. doi: 10.1007/s43465-023-00891-w. eCollection 2023 May.

Abstract

Periprosthetic joint infection (PJI) is a well-known serious complication following joint replacement surgeries and is responsible for high failure rates of implanted devices. Any delay in the diagnosis can compromise treatment success, putting a huge burden on the patients' wellness and healthcare systems. Diagnosing PJIs is quite complex as there is still no gold standard test to reach the definitive diagnosis in a timely manner. A number of laboratory tests and radiological imaging inventions have evolved in the past few years, requiring consistent updates of the available guidelines to keep up with the latest advances in the field. This article highlights the recent advances in diagnosing PJIs and discusses their validity for use in clinical practice.

摘要

人工关节周围感染(PJI)是关节置换手术后一种众所周知的严重并发症,也是植入装置高失败率的原因。诊断的任何延迟都可能影响治疗效果,给患者的健康和医疗系统带来巨大负担。诊断PJI非常复杂,因为目前仍没有能够及时做出明确诊断的金标准检测方法。在过去几年中,出现了许多实验室检测和放射影像学技术,这就需要不断更新现有指南,以跟上该领域的最新进展。本文重点介绍了诊断PJI的最新进展,并讨论了它们在临床实践中的有效性。

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