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人工关节周围感染(PJI)。

Periprosthetic Joint Infection (PJI).

作者信息

Kalali Naeemeh, Ebrahimzadeh Mohammad H, Moradi Ali, Jirofti Nafiseh

出版信息

Arch Bone Jt Surg. 2025;13(7):406-413. doi: 10.22038/ABJS.2025.81816.3726.

Abstract

Periprosthetic joint infection (PJI) is a serious complication that can occur after joint arthroplasty, significantly affecting both the healthcare system and patients due to high costs and mortality rates. Managing PJI is complex and presents significant challenges in orthopedic surgery because there is no standardized definition for PJI and no universally accepted diagnostic gold standard. Despite various preventive measures taken before and during surgery, PJIs still occur. Many treatment options are available, but the best management is still highly debated, and the best treatment choice depends on several factors. Notably, all of these treatments are taken after the occurrence of PJI, while modern strategies, such as coating methods with various materials, must be relied upon to control and prevent the occurrence of PJI. This review focuses on the precise concept of PJIs, treatment options, and novel strategies to prevent PJIs.

摘要

人工关节周围感染(PJI)是关节置换术后可能发生的一种严重并发症,因其高成本和死亡率,对医疗系统和患者都会产生重大影响。处理PJI很复杂,在骨科手术中面临重大挑战,因为PJI没有标准化定义,也没有普遍接受的诊断金标准。尽管在手术前和手术期间采取了各种预防措施,但PJI仍会发生。有许多治疗选择,但最佳治疗方案仍存在很大争议,最佳治疗选择取决于多个因素。值得注意的是,所有这些治疗都是在PJI发生后进行的,而现代策略,如用各种材料进行涂层处理,必须依靠这些策略来控制和预防PJI的发生。本综述重点关注PJI的确切概念、治疗选择以及预防PJI的新策略。

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