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- W3000368995 abstract "To summarize the research progress of two-stage revision for periprosthetic joint infection (PJI) after hip and knee arthroplasties.The related literature on two-stage revision for PJI was summarized, and the new progress in the choice of spacers, systemic antibiotic therapy, and risk factors were analyzed.Two-stage revision is a common way to treat infection after hip and knee arthroplasties. The types of spacers used in the one-stage operation are diverse and each has its own advantages and disadvantages. Non-articular spacers are mainly used for the patients with poor soft tissue conditions around the joints and severe bone defects. But the joint mobility is not good after the placement of the spacer. Articular spacers can restore the affected joint movement after operation, which is beneficial to the joint mobility after two-stage operation. The use of antibiotics is an indispensable part of the treatment process, and the effectiveness of short-term antibiotic treatment is similar to long-term treatment. Identifying the relevant risk factors that influence the prognosis of the two-stage revision can help preoperative management and reduce the recurrence rate of infection.There are still controversies about the choice of spacers and systemic antibiotic therapy during the two-stage revision and treatment of PJI. The factors affecting the prognosis of the two-stage revision need to be explored and the further high-quality research is needed.综述二期翻修治疗人工髋、膝关节置换术后感染的研究进展。.广泛查阅近年国内外相关文献,总结二期翻修治疗人工髋、膝关节感染中间隔器的选择、全身性抗生素使用疗程及预后危险因素评估方面的新进展。.二期翻修是治疗人工髋、膝关节置换术后感染的常用方式。第 1 阶段术中使用的间隔器类型多样,各有优缺点。其中,非关节型间隔器主要用于关节周围软组织条件欠佳、存在严重骨缺损患者,但间隔器植入后关节活动度不佳;关节型间隔器可使受累关节术后恢复运动,改善后期关节活动度。应用抗生素是治疗过程中不可缺少部分,短期应用抗生素治疗也可获得与长疗程相似疗效。明确影响二期翻修预后的危险因素有助于术前管理以及降低感染复发率。.目前二期翻修治疗人工髋、膝关节置换术后感染过程中间隔器的选择以及抗生素应用疗程等问题仍存在争议,影响二期翻修预后的影响因素有待探究,需要进一步高质量研究加以明确。." @default.
- W3000368995 created "2020-01-23" @default.
- W3000368995 creator A5015954127 @default.
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- W3000368995 date "2019-12-15" @default.
- W3000368995 modified "2023-10-18" @default.
- W3000368995 title "[Research progress of two-stage revision for periprosthetic joint infection after hip and knee arthroplasties]." @default.
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- W3000368995 doi "https://doi.org/10.7507/1002-1892.201901098" @default.
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