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[Native joint infections].

Heinrich M L Mühlhofer1, Susanne Feihl2, Ingo J Banke2

  • 1Klinik und Poliklinik für Orthopädie und Sportorthopädie, Klinikum rechts der Isar, Technische Universität München, Ismaninger Str. 22, 81675, München, Deutschland. heinrich.muehlhofer@tum.de.

Der Orthopade
|January 31, 2020
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Summary

Prompt diagnosis and treatment are crucial for native joint infections to prevent rapid joint destruction and sepsis. This overview focuses on diagnostic strategies and therapeutic decisions for these challenging orthopedic emergencies.

Keywords:
EmergencyEmpyemaJoint destructionSepsisSurgery

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Area of Science:

  • Orthopedics
  • Infectious Diseases
  • Surgical Emergency

Background:

  • Native joint infections pose significant clinical challenges, potentially leading to rapid joint destruction and sepsis if not managed promptly.
  • These infections can arise from endogenous (hematogenous spread) or exogenous factors, including iatrogenic causes like surgery or joint injections.

Purpose of the Study:

  • To provide a comprehensive overview of the diagnostic approach and treatment strategies for native joint infections.
  • To emphasize the critical role of early diagnosis and tailored treatment in achieving successful outcomes.

Main Methods:

  • Review of current literature and clinical guidelines on the diagnosis and management of native joint infections.
  • Focus on diagnostic modalities and decision-making processes for orthopedic surgical intervention and anti-infectious therapy.

Main Results:

  • Early diagnosis is paramount for effective treatment of native joint infections.
  • A multidisciplinary approach combining prompt surgical intervention and specific anti-infectious treatment is essential for optimal patient outcomes.
  • Acute joint infections are considered orthopedic surgical emergencies requiring immediate operative measures.

Conclusions:

  • Successful management of native joint infections relies on the synergistic interaction of early diagnosis, appropriate surgical management, and individualized anti-infectious treatment.
  • Prompt intervention is key to preventing severe complications such as joint destruction and systemic disease like sepsis.