title: Treatment of patients with periprosthetic infection
metadata.name: dc.contributor.author
metadata.value: Dulaev, Alexander K.
metadata.lang: -
metadata.name: dc.contributor.author
metadata.value: Ovdenko, Andrey G.
metadata.lang: -
metadata.name: dc.contributor.author
metadata.value: Tsed, Alexander N.
metadata.lang: -
metadata.name: dc.contributor.author
metadata.value: Mushtin, Nikita E.
metadata.lang: -
metadata.name: dc.contributor.author
metadata.value: Dulaev, Dmitry V.
metadata.lang: -
metadata.name: dc.contributor.author
metadata.value: Varzin, Sergey A.
metadata.lang: -
metadata.name: dc.date.accessioned
metadata.value: 2024-03-27T20:05:21Z
metadata.lang: -
metadata.name: dc.date.available
metadata.value: 2024-03-27T20:05:21Z
metadata.lang: -
metadata.name: dc.date.issued
metadata.value: 2023-12
metadata.lang: -
metadata.name: dc.identifier.citation
metadata.value: Dulaev E. K., Tsed A. N., Dulaev D. V., Ovdenko A. G., Mushtin N. E., Varzin S. A. Treatment of patients with periprosthetic infection. Vestnik of Saint Petersburg University. Medicine, 2023, vol. 18, issue 4, pp. 372–384. https://doi.org/10.21638/spbu11.2023.403 (In Russian)
metadata.lang: en_GB
metadata.name: dc.identifier.other
metadata.value: https://doi.org/10.21638/spbu11.2023.403
metadata.lang: -
metadata.name: dc.identifier.uri
metadata.value: http://hdl.handle.net/11701/45163
metadata.lang: -
metadata.name: dc.description.abstract
metadata.value: The review article presents the main questions of pathogenesis, early diagnosis, and surgical
  management of patients with paraprosthetic infection that developed after surgery for fractured
  limb bones and deforming arthrosis. The main factors that influenced the occurrence of purulent
  complications and the ways of their prevention, treatment, taking into account the current ideas
  about wound infection, are indicated. Pathogenetic mechanisms of paraprosthetic infection development
  are directly related to the presence of hematoma in the operated joint. Risk factors for
  large joint arthroplasty can be divided into three conditional types: general and local patient status;
  conditions for the operation; features of surgery. To detail the risk factors associated with the
  general or local status of the patient, two subtypes are highlighted — primary and secondary. The
  main subtype includes: 1) focus infection, located in the operated joint; 2) focus infection, located
  in the paraarticular tissues of the operated joint; 3) generalization of the infectious process —
  sepsis. The additional subtype includes: 1) history of previous joint surgery; 2) critical changes
  in body mass index; 3) uncontrolled diabetes mellitus; 4) presence of systemic diseases associated
  with prolonged administration of glucocorticosteroids and cytostatics and others. Two-stage
  revision endoprosthesis in patients with chronic periprosthetic infection is the gold standard to
  date. In many ways, the success of treatment depends on the correctness of all stages, on the adequacy
  of diagnostic measures, the scrupulousness of compliance with surgical technique and is
  determined by the surgeon’s experience, as well as the equipment of the hospital.
metadata.lang: en_GB
metadata.name: dc.language.iso
metadata.value: ru
metadata.lang: en_GB
metadata.name: dc.publisher
metadata.value: St Petersburg State University
metadata.lang: en_GB
metadata.name: dc.relation.ispartofseries
metadata.value: Vestnik of St Petersburg University. Medicine;Volume 18; Issue 4
metadata.lang: -
metadata.name: dc.subject
metadata.value: paraprosthetic infection
metadata.lang: en_GB
metadata.name: dc.subject
metadata.value: periprosthetic infection
metadata.lang: en_GB
metadata.name: dc.subject
metadata.value: fracture
metadata.lang: en_GB
metadata.name: dc.subject
metadata.value: limb bones
metadata.lang: en_GB
metadata.name: dc.subject
metadata.value: deforming arthrosis
metadata.lang: en_GB
metadata.name: dc.subject
metadata.value: transplant
metadata.lang: en_GB
metadata.name: dc.subject
metadata.value: purulent complications
metadata.lang: en_GB
metadata.name: dc.subject
metadata.value: wound infection
metadata.lang: en_GB
metadata.name: dc.subject
metadata.value: diagnosis
metadata.lang: en_GB
metadata.name: dc.subject
metadata.value: treatment
metadata.lang: en_GB
metadata.name: dc.subject
metadata.value: prognosis
metadata.lang: en_GB
metadata.name: dc.title
metadata.value: Treatment of patients with periprosthetic infection
metadata.lang: en_GB
metadata.name: dc.type
metadata.value: Article
metadata.lang: en_GB
resources.filename: 03.pdf
resources.url: https://dspace.spbu.ru/bitstream/11701/45163/1/03.pdf
resources.format: Adobe PDF
resources.size: 1,18 MB