Diagnosing and Managing Infection in Total Ankle Replacement

IF 1.5 3区医学 Q3 ORTHOPEDICS Foot and Ankle Clinics Pub Date : 2023-10-03 DOI:10.1016/j.fcl.2023.09.002

Markus Walther MD , Veit Krenn MD , Kathrin Pfahl MD

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诊断和处理全踝关节置换术中的感染

全踝关节置换术(TAR)后4周内的感染可通过1次或多次清创、冲洗和更换聚乙烯嵌体成功控制。晚期感染需要移除种植体。到目前为止，低级别感染可能是一个被低估的问题。虽然文献中有单次手术修复的报道，但作者使用抗生素骨水泥间隔器进行两期修复的经验更好。额外的抗生素用于支持手术治疗。抗生素治疗12周后，最后的治疗包括踝关节或胫骨距跟骨融合，并有局限性地进行TAR翻修。

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来源期刊

Foot and Ankle Clinics ORTHOPEDICS-

CiteScore

2.90

自引率

6.70%

发文量

审稿时长

>12 weeks

期刊介绍： Foot and Ankle Clinics updates you on the latest trends in orthopedic patient management, keeps you up to date on the newest surgical advances, and provides a sound basis for choosing treatment options. Published four times a year—in March, June, September, and December—each issue focuses on a single topic in foot and ankle surgery, from fractures, dislocations, sprains, and amputations, through arthritis, nerve disorders, and congenital deformities. Foot and Ankle Clinics has been edited by Mark S. Myerson, one of the world''s foremost experts on foot and ankle reconstruction and injury, since 1995.

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