Диагностика перипротезной инфекции при ревизионном эндопротезировании коленного сустава: обзор литературы

Диагностика перипротезной инфекции при ревизионном эндопротезировании коленного сустава: обзор литературы

Автор: Пантелеев А.Н., Божкова С.А., Преображенский П.М.

Журнал: Кафедра травматологии и ортопедии @jkto

Рубрика: Обзор литературы

Статья в выпуске: 2 (48), 2022 года.

Бесплатный доступ

Статья посвящена одной из самых актуальных проблем современной ортопедии - диагностике перипротезной инфекции. В статье представлены современные взгляды на различные методы диагностики и их комбинации в выявлении перипротезной инфекции с акцентом на особую группу пациентов, которые нуждаются в ревизионном эндопротезировании коленного сустава по причине асептической нестабильности компонентов эндопротеза или при наличии спейсера, установленного по причине перипротезной инфекции. Цель обзора - на основании анализа литературы представить современные взгляды на диагностику перипротезной инфекции у пациентов, нуждающихся в ревизионном эндопротезировании коленного сустава. На основе анализа литературы сделаны выводы о том, что чувствительность и специфичность ряда методов диагностики значимо снижается при обследовании пациентов перед ревизионным эндопротезированием, что не позволяет своевременно дифференцировать асептическую нестабильность компонентов эндопротеза и латентную перипротезную инфекцию или оценить эффективность этапа санации перед ревизионным эндопротезированием коленного сустава. Совершенствование диагностических алгоритмов комплексного обследования пациентов, нуждающихся в ревизионной операции, вероятно позволит своевременно выявлять или исключать латентную перипротезную инфекцию и скорректировать при необходимости тактику лечения пациентов с выявленной инфекцией.

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Ревизионное эндопротезирование коленного сустава, перипротезная инфекция, латентная ппи, асептическая нестабильность, спейсер

Короткий адрес: https://sciup.org/142236562

IDR: 142236562   |   DOI: 10.17238/2226-2016-2022-2-106-120

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