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Il reimpianto in esiti di infezione: one-stage, two-stage

Treatment of peri-prosthetic joint infection after THR: one-stage, two-stage

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LO SCALPELLO-OTODI Educational

Abstract

Periprosthetic joint infection (PJI) is a devastating complication following total hip replacement (THR). Management of PJI depends upon proper diagnosis and correct treatment, both of which are challenging conditions. Yet in the absence of a true gold standard, diagnosis is the result of a combination of clinical suspicion, serological tests and culture results. Treatment options include irrigation and debridement (\(I\&D\)) with retention of implants for acute infections and exchange arthroplasty either as a 1-stage or 2-stage procedure for late infections. A multidisciplinary team approach is necessary in the treatment of patients with PJI.

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Bibliografia

  1. Da Rin de Lorenzo F (2015) Linee Guida dal Primo Consensus Meeting Mondiale sulle infezioni periprotesiche (Philadelphia 2013). GIOT 41:96–118

    Google Scholar 

  2. Parvizi J, Gehrke T (2014) International Consensus Group on Periprosthetic Joint Infection. Definition of periprosthetic joint infection. J Arthroplast 29(7):1331

    Article  Google Scholar 

  3. Zmistowsky B, Parvizi J (2012) Identification and treatment of infected total hip arthroplasty. Expert Rev Anti Infect Ther 10(4):509–518

    Article  Google Scholar 

  4. Lee HD, Prashant K, Shon WY (2015) Management of periprosthetic hip joint infection. Hip Pelvis 27(2):63–71

    Article  PubMed  PubMed Central  Google Scholar 

  5. Parvizi J, Jacovides C, Antoci V, Ghanem E (2011) Diagnosis of periprosthetic joint infection: the utility of a simple yet unappreciated enzyme. J Bone Jt Surg Am 93:2242–2248

    Article  Google Scholar 

  6. Caola I, Drago L (2017) Percorso diagnostico di laboratorio per le infezioni di protesi articolari e mezzi di osteosintesi. Percorso diagnostico AMCLI

  7. Corvec S, Portillo ME, Pasticci BM et al. (2012) Epidemiology and new developments in the diagnosis of prosthetic joint infection. Int J Artif Organs 35(10):923–934

    PubMed  Google Scholar 

  8. Ali F, Wilkinson JM, Cooper JR et al. (2006) Accuracy of joint aspiration for the preoperative diagnosis of infection in total hip arthroplasty. J Arthroplast 21:221–226

    Article  Google Scholar 

  9. Zahar A, Gehrke TA (2016) One-stage revision for infected total hip arthroplasty. Orthop Clin N Am 47(1):11–18

    Article  Google Scholar 

  10. Cooper HJ, Della Valle CJ (2013) The two-stage standard in revision total hip replacement. Bone Jt J 95-B(11 Suppl A):84–87

    Article  CAS  Google Scholar 

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Correspondence to Fabrizio Cortese.

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Gli autori Fabrizio Cortese, Michael Memminger, Giuseppe Niccoli, Alessandro Santandrea, Elisa Luminari dichiarano di non avere alcun conflitto di interesse.

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Tutte le procedure descritte nello studio e che hanno coinvolto esseri umani sono state attuate in conformità alle norme etiche stabilite dalla dichiarazione di Helsinki del 1975 e successive modifiche. Il consenso informato è stato ottenuto da tutti i pazienti inclusi nello studio.

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Cortese, F., Memminger, M., Niccoli, G. et al. Il reimpianto in esiti di infezione: one-stage, two-stage . LO SCALPELLO 31, 253–259 (2017). https://doi.org/10.1007/s11639-017-0232-x

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  • DOI: https://doi.org/10.1007/s11639-017-0232-x

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