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Novel Diagnostics in Revision Arthroplasty: Implant Sonication and Multiplex Polymerase Chain Reaction
Published on: December 3, 2017
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[Infected endoprosthesis in patients with rheumatism]
Markus Weber1, M Meyer2, J Grifka2
1Klinik und Poliklinik für Orthopädie, Asklepios Klinikum Bad Abbach, Universität Regensburg, Kaiser Karl V. Allee 3, 93077, Bad Abbach, Deutschland. ma.weber@asklepios.com.
Zeitschrift Fur Rheumatologie
|April 22, 2021
Summary
Diagnosing and treating artificial joint infections, especially in rheumatic disease patients, requires a team approach. Prompt surgical intervention and antibiotics are key to successful outcomes, with prosthesis replacement for chronic cases.
Area of Science:
- Orthopedic Surgery
- Rheumatology
- Infectious Diseases
Background:
- Periprosthetic joint infections are a significant complication following artificial joint replacement surgery.
- Clinical presentation can be variable, complicating diagnosis, particularly in patients with inflammatory rheumatic diseases.
Purpose of the Study:
- To outline diagnostic and treatment strategies for periprosthetic joint infections, with a focus on patients with rheumatic diseases.
- To emphasize the importance of interdisciplinary collaboration in managing these complex infections.
Main Methods:
- Diagnosis involves clinical evaluation, laboratory findings, and essential joint puncture for pathogen identification.
- Treatment strategies differentiate between acute infections (joint preservation attempts) and chronic infections (prosthesis replacement).
Main Results:
- Interdisciplinary cooperation between surgeons, rheumatologists, and infectious disease specialists is crucial.
- Surgical intervention and antibiotic therapy form the cornerstone of treatment.
- Preoperative identification and management of modifiable risk factors are vital for infection prevention.
Conclusions:
- Effective management of periprosthetic joint infections necessitates a multidisciplinary approach.
- Treatment success hinges on timely diagnosis, appropriate surgical intervention, and targeted antibiotic therapy.
- Proactive management of risk factors can mitigate the incidence of these severe complications.
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