Systematic review of single stage revision for prosthetic joint infection

• 作者: Christopher Thomas Holland John P Meehan Zachary C Lum
• 来源期刊: 世界骨科杂志:英文版
• 学科: 医学
• 关键词: Prosthetic joint infection Single stage Revision total joint arthroplasty Total knee arthroplasty INFECTION
• 年，卷（期）: 2020,（12）
• 页码范围: 559-572
• 页数: 14页
• 分类号: R68

摘要

While advanced technology,increased medical knowledge and improved surgical technique has improved patient outcomes in total joint arthroplasty,prosthetic joint infection still remains one of the leading causes of increased healthcare costs,medical resources and societal burdens in orthopaedic care.Two stage arthroplasty revision remains the gold standard for treatment of prosthetic joint infection.Proponents of single stage revision arthroplasty for infection argue that it results in lower healthcare costs while improving patient reported functional outcomes and with equivalent success rates.Here we review the history of single stage revision arthroplasty,discuss the key principles,highlight the indications and contraindications,and review the reported outcomes with a focus on future developments of single stage revision arthroplasty for hip and knee periprosthetic joint infections.