Abstract:
Osteoarthritis is a degenerative joint disease caused by the wear and tear of joint cartilage. The definitive and resolving treatment is prosthetic replacement of the articular surface, the demand of which is on the rise for patients with mild to moderate severity. However, a conservative strategy may be considered that aims to reduce and contain pain symptoms by postponing surgical treatment in the case of worsening that can no longer be otherwise controlled. Intra-articular infiltrations, like other therapeutic strategies, are not without complications, and among these the most feared is joint infection, especially in anticipation of future prosthetic replacement. Is important to avoid periprosthetic joint infections because they represent one of the third most common reasons for revision surgery. Using cases found in the literature, the aim of this article is to determine if there is a real correlation between the type of injections, the number of doses injected and the time between infiltrations and the surgical procedure.
摘要:
骨关节炎是由关节软骨的磨损引起的退行性关节疾病。最终和解决的治疗方法是关节面的假体置换,对轻度至中度患者的需求正在上升。然而,可以考虑一种保守的策略,其目的是通过在无法再控制的恶化的情况下推迟手术治疗来减轻和控制疼痛症状。关节内浸润,像其他治疗策略一样,并非没有并发症,其中最可怕的是关节感染,特别是在未来假肢置换的预期。避免假体周围感染很重要,因为它们是翻修手术的第三大常见原因之一。利用文献中发现的案例,本文的目的是确定注射类型之间是否存在真正的相关性,注射的剂量数量以及浸润和外科手术之间的时间。