Periprosthetic joint infection: Current concept | 合法醫療器材資訊網

由VKAggarwal著作·2013·被引用78次—Periprostheticjointinfection(PJI)isoneofthemostdevastatingandcostlycomplicationsfollowingtotaljointarthroplasty(TJA).Diagnosisandmanagementof ...

Given the increase of total joint arthroplasty (TJA) being performed annually, the number of complications necessitating revision surgery is increasing.1,2 Periprosthetic joint infection (PJI), one of the major complications and etiologies of implant failure after TJA, is associated with substantial financial burden on the healthcare system and significant physical and psychological morbidity on patients.3

Using the nation-wide in-patient sample (NIS) data, Kurtz et al. found the relative incidence ranged between 2.0% and 2.4% of total hip arthroplasties (THA) and total knee arthroplasties (TKA).3 However, single institution studies using more precise definitions for PJI, reported lower rates ranging from about 0.6% to 0.9%.4,5 In spite of the relatively low incidence of PJI, the financial burden remains enormous. The annual cost of infected revisions to U.S. hospitals increased from $320 million in 2001 to $566 million in 2009, and it is estimated that the cost will exceed $1...