{"title":"Classification of prosthetic joint infection and fracture-related infection","authors":"Andrew J. Hotchen, Martin A McNally","doi":"10.1016/j.mporth.2023.09.002","DOIUrl":null,"url":null,"abstract":"<div><p><span>Bone and joint infections can present in many ways. It is important to understand the features of the infection which contribute to the complexity of the condition and affect the outcome of </span>treatment for the patient. Classification systems can do this but are often ignored in clinical decision-making and design of research projects. Recent work has better documented the key features of the patient and limb which must be considered when treatment is planned. This paper reviews the available classifications and their application to clinical practice. The Cierny and Mader and JS-BACH classifications offer useful information for stratifying cases and provide evidence-based advice on outcome from treatment for patients. Both have been validated in well-defined patient cohorts.</p></div>","PeriodicalId":39547,"journal":{"name":"Orthopaedics and Trauma","volume":"37 6","pages":"Pages 330-335"},"PeriodicalIF":0.0000,"publicationDate":"2023-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Orthopaedics and Trauma","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S187713272300088X","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 1
Abstract
Bone and joint infections can present in many ways. It is important to understand the features of the infection which contribute to the complexity of the condition and affect the outcome of treatment for the patient. Classification systems can do this but are often ignored in clinical decision-making and design of research projects. Recent work has better documented the key features of the patient and limb which must be considered when treatment is planned. This paper reviews the available classifications and their application to clinical practice. The Cierny and Mader and JS-BACH classifications offer useful information for stratifying cases and provide evidence-based advice on outcome from treatment for patients. Both have been validated in well-defined patient cohorts.
骨和关节感染有多种表现形式。重要的是要了解感染的特点，这有助于病情的复杂性，并影响患者的治疗结果。分类系统可以做到这一点，但在临床决策和研究项目设计中往往被忽视。最近的工作更好地记录了患者和肢体的关键特征，这些特征在计划治疗时必须考虑到。本文综述了现有的分类方法及其在临床中的应用。Cierny and Mader和JS-BACH分类为病例分层提供了有用的信息，并为患者的治疗结果提供了基于证据的建议。两者都已在明确的患者队列中得到验证。
期刊介绍：
Orthopaedics and Trauma presents a unique collection of International review articles summarizing the current state of knowledge and research in orthopaedics. Each issue focuses on a specific topic, discussed in depth in a mini-symposium; other articles cover the areas of basic science, medicine, children/adults, trauma, imaging and historical review. There is also an annotation, self-assessment questions and a second opinion section. In this way the entire postgraduate syllabus will be covered in a 4-year cycle.
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