Periprosthetic joint infection represents a devastating complication after total elbow arthroplasty. Several measures can be implemented before, during, and after surgery to decrease infection rates, which exceed 5%. Debridement with antibiotics and implant retention has been reported to be successful in less than one-third of acute infections, but still plays a role. For elbows with well-fixed implants, staged retention seems to be equally successful as the more commonly performed two-stage reimplantation, both with a success rate of 70% to 80%. Permanent resection or even amputation are occasionally considered. Not uncommonly, a second-stage reimplantation requires complex reconstruction of the skeleton with allografts, and the extensor mechanism may also be deficient. Further developments are needed to improve our management of infection after elbow arthroplasty.

中文翻译：

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感染的全肘关节置换术的管理。


假体周围关节感染是全肘关节置换术后的毁灭性并发症。可以在手术前、手术中和手术后采取多种措施来降低超过 5% 的感染率。据报道，使用抗生素进行清创和植入物固位在不到 1/3 的急性感染中成功，但仍起作用。对于种植体固定良好的肘部，分期固位似乎与更常见的两期再植入同样成功，两者的成功率均为 70% 至 80%。偶尔会考虑永久切除甚至截肢。第二阶段再植入需要用同种异体移植物对骨骼进行复杂的重建，伸肌机制也可能不足。需要进一步的发展来改善我们对肘关节置换术后感染的管理。