"Current trends in the treatment of an infected alloplasty"@en . . . . . "Infekce kloubn\u00EDch n\u00E1hrad st\u00E1le p\u0159edstavuje z\u00E1va\u017Enou komplikaci. Diagnostika infek\u010Dn\u00EDch komplikac\u00ED mus\u00ED b\u00FDt rychl\u00E1. Nov\u00E9 vy\u0161et\u0159ovac\u00ED metody jako sonifikace, mikrokalorimetrie, molekul\u00E1rn\u011B genetick\u00E9 techniky a hmotnostn\u00ED spektrometrie p\u0159in\u00E1\u0161ej\u00ED st\u00E1le p\u0159esn\u011Bj\u0161\u00ED v\u00FDsledky, kter\u00E9 je mo\u017En\u00E9 vyu\u017E\u00EDt k volb\u011B l\u00E9\u010Debn\u00E9ho postupu. V posledn\u00EDch letech m\u016F\u017Eeme pozorovat st\u00E1le v\u011Bt\u0161\u00ED n\u00E1r\u016Fst indikac\u00ED jednodob\u00E9 reimplantace. \u00DAsp\u011B\u0161n\u011B proveden\u00E1 jednodob\u00E1 reimplantace zkracuje pacientovu l\u00E9\u010Dbu a \u0161et\u0159\u00ED n\u00E1klady. Dvoudob\u00E1 reimplantace je u n\u00E1s st\u00E1le neju\u017E\u00EDvan\u011Bj\u0161\u00EDm postupem l\u00E9\u010Dby. Nap\u0159\u00EDklad spacery jsou ale st\u00E1le nevy\u0159e\u0161enou problematikou. U n\u011Bkter\u00FDch typ\u016F je ud\u00E1v\u00E1no a\u017E 58,5 % komplikac\u00ED. Nejmodern\u011Bj\u0161\u00EDm a nejperspektivn\u011Bj\u0161\u00EDm \u0159e\u0161en\u00EDm je u\u017Eit\u00ED tov\u00E1rn\u011B vyroben\u00FDch, takzvan\u00FDch \u201Eready-made\u201C spacer\u016F. Nov\u00FDm postupem p\u0159i \u0159e\u0161en\u00ED masivn\u00EDch kostn\u00EDch defekt\u016F po opakovan\u00FDch reimplantac\u00EDch n\u00E1hrady kolenn\u00EDho kloubu je funk\u010Dn\u00ED artrod\u00E9za. V posledn\u00ED dob\u011B jsou zkoum\u00E1ny zcela nov\u00E9 technologie l\u00E9\u010Dby, jako je blok\u00E1da komunikace bakteri\u00ED v biofilmu, zv\u00FD\u0161en\u00ED citlivosti k antibiotik\u016Fm nebo chytr\u00E9 implant\u00E1ty."@cs . "5" . . . "Sou\u010Dasn\u00E9 trendy v l\u00E9\u010Db\u011B infikovan\u00E9 aloplastiky" . "Current trends in the treatment of an infected alloplasty"@en . . . . "Sou\u010Dasn\u00E9 trendy v l\u00E9\u010Db\u011B infikovan\u00E9 aloplastiky"@cs . . "Sou\u010Dasn\u00E9 trendy v l\u00E9\u010Db\u011B infikovan\u00E9 aloplastiky"@cs . . "7"^^ . "Sosna, Anton\u00EDn" . . "Jahoda, David" . "Judl, Tobi\u00E1\u0161" . "http://www.medvik.cz/link/bmc11039189" . "THA, TKA, single-stage exchange, two-stage exchange, spacer, infection"@en . . "Infekce kloubn\u00EDch n\u00E1hrad st\u00E1le p\u0159edstavuje z\u00E1va\u017Enou komplikaci. Diagnostika infek\u010Dn\u00EDch komplikac\u00ED mus\u00ED b\u00FDt rychl\u00E1. Nov\u00E9 vy\u0161et\u0159ovac\u00ED metody jako sonifikace, mikrokalorimetrie, molekul\u00E1rn\u011B genetick\u00E9 techniky a hmotnostn\u00ED spektrometrie p\u0159in\u00E1\u0161ej\u00ED st\u00E1le p\u0159esn\u011Bj\u0161\u00ED v\u00FDsledky, kter\u00E9 je mo\u017En\u00E9 vyu\u017E\u00EDt k volb\u011B l\u00E9\u010Debn\u00E9ho postupu. V posledn\u00EDch letech m\u016F\u017Eeme pozorovat st\u00E1le v\u011Bt\u0161\u00ED n\u00E1r\u016Fst indikac\u00ED jednodob\u00E9 reimplantace. \u00DAsp\u011B\u0161n\u011B proveden\u00E1 jednodob\u00E1 reimplantace zkracuje pacientovu l\u00E9\u010Dbu a \u0161et\u0159\u00ED n\u00E1klady. Dvoudob\u00E1 reimplantace je u n\u00E1s st\u00E1le neju\u017E\u00EDvan\u011Bj\u0161\u00EDm postupem l\u00E9\u010Dby. Nap\u0159\u00EDklad spacery jsou ale st\u00E1le nevy\u0159e\u0161enou problematikou. U n\u011Bkter\u00FDch typ\u016F je ud\u00E1v\u00E1no a\u017E 58,5 % komplikac\u00ED. Nejmodern\u011Bj\u0161\u00EDm a nejperspektivn\u011Bj\u0161\u00EDm \u0159e\u0161en\u00EDm je u\u017Eit\u00ED tov\u00E1rn\u011B vyroben\u00FDch, takzvan\u00FDch \u201Eready-made\u201C spacer\u016F. Nov\u00FDm postupem p\u0159i \u0159e\u0161en\u00ED masivn\u00EDch kostn\u00EDch defekt\u016F po opakovan\u00FDch reimplantac\u00EDch n\u00E1hrady kolenn\u00EDho kloubu je funk\u010Dn\u00ED artrod\u00E9za. V posledn\u00ED dob\u011B jsou zkoum\u00E1ny zcela nov\u00E9 technologie l\u00E9\u010Dby, jako je blok\u00E1da komunikace bakteri\u00ED v biofilmu, zv\u00FD\u0161en\u00ED citlivosti k antibiotik\u016Fm nebo chytr\u00E9 implant\u00E1ty." . "6"^^ . . "RIV/00064203:_____/11:7482!RIV12-MZ0-00064203" . "Sou\u010Dasn\u00E9 trendy v l\u00E9\u010Db\u011B infikovan\u00E9 aloplastiky" . "[04D641296791]" . "6"^^ . . . "RIV/00064203:_____/11:7482" . "I" . . . . "Ortopedie" . "Even nowadays, infections of joint replacements represent a serious complication. The diagnosis of infectious complications must be quick and precise. New diagnostic methods such as sonication, microcalorimetry, molecular genetic techniques, and mass spectrometry yield accurate results which can be used for the selection of the optimal therapeutic method. In recent years, an increase in single-stage reimplantation indications has been seen. The successful implementation of a single-stage exchange reduces the duration of the patient\u2019s treatment as well as the costs thereof. The two-stage exchange is still the most commonly used treatment method in the Czech Republic. Spacers still present an unresolved issue, for example in some types the reported rate of complications reaches as many as 58.5%. The latest and most promising solution is the use of factory produced, so-called \u201Cready-made\u201D spacers. A new procedure for the management of massive bone defects after repeated re-implantation of the TKA is functional arthrodesis. Recently, new technologies have been researched, such as bacteria communication blockade in the biofilm, increased sensitivity to antibiotics, or smart implants."@en . . . "Pokorn\u00FD, David" . . "CZ - \u010Cesk\u00E1 republika" . . "Landor, Ivan" . "1802-1727" . "Melicher\u010D\u00EDk, Pavel" . "4" . "230964" .