病例报告:游泳活动后的整体关节整形术后的周围假肢关节感染
Aviram Albagly1, Ariel D Levine1, Oren Ben-Lulu1
1Department of Orthopedic Surgery, Bnai Zion Medical Center, Haifa, Israel.
Journal of orthopaedic case reports
|September 10, 2024
概括
游泳可能是整体关节整形术 (TJA) 后周围假肢关节感染 (PJI) 的潜在危险因素. 需要进一步的研究来证实这一关联,并了解与手术后游泳相关的风险.
科学领域:
- 整形外科手术 整形外科手术
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 周围假肢关节感染 (PJI) 是整体关节整形术 (TJA) 后的一种严重并发症,影响1-2%的初级手术.
- 通常报告的PJI发病率为全关节整形术 (THA) 的0.97%和全膝关节整形术 (TKA) 的1.03%.
研究的目的:
- 在TJA后参加游泳运动的患者中报告了两例PJI病例.
- 突出潜力,但未被承认,游泳和PJI发展之间的联系.
- 鼓励进一步研究游泳作为PJI的风险因素.
主要方法:
- 介绍了两个不同的病例报告,涉及患者在TKA和THA后分别发展了PJI.
- 详细的病史,包括手术前后的游泳习惯.
- 微生物学分析证实了感染的致病原体.
主要成果:
- 案例1:一个64岁的男性在TKA后17个月内发展了PJI (Streptococcus dysgalactiae).
- 案例2:一个51岁的男性在THA后2周和3个月出现PJI (Staphylococcus lugdunensis和Streptococcus agalactiae).
- 两位患者都经常参加游泳,在手术后不久就恢复了游泳.
结论:
- 游泳活动虽然不是一个公认的PJI风险因素,但在患有延迟或晚期感染的患者中需要进行临床考虑.
- 需要进一步的研究来阐明游泳在PJI病因中的作用.
- 保持游泳者对PJI的高怀疑指数对于及时诊断和管理至关重要.
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