Single-Stage Hip and Knee Exchange for Periprosthetic Joint Infection

Abstract Periprosthetic joint infections following hip and knee arthroplasty are challenging complications for Orthopaedic surgeons to manage. The single-stage exchange procedure is becoming increasingly popular with promising results. At our Institute we have demonstrated favourable or similar outc...

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Bibliographic Details
Published in:The Journal of arthroplasty 2015-12, Vol.30 (12), p.2264-2270
Main Authors: George, David A., MBChB, BMedSc, MRCS (Eng), Konan, Sujith, MBBS, MD (Res), FRCS (Orth), Haddad, Fares S., MD (Res), FRCS (Orth), FFSEM
Format: Article
Language:English
Subjects:
Arthritis, Infectious - surgery
Arthroplasty, Replacement, Hip - methods
Arthroplasty, Replacement, Knee - methods
Debridement
hip exchange arthroplasty
Hip Prosthesis - adverse effects
Humans
knee exchange arthroplasty
Knee Prosthesis - adverse effects
Orthopedics
patient selection
periprosthetic joint infections
Prosthesis-Related Infections - surgery
Reoperation - methods
single-stage exchange
surgical technique
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Summary:Abstract Periprosthetic joint infections following hip and knee arthroplasty are challenging complications for Orthopaedic surgeons to manage. The single-stage exchange procedure is becoming increasingly popular with promising results. At our Institute we have demonstrated favourable or similar outcomes compared to the ‘gold-standard’ two-stage exchange, and other published single-stage results. The aim of this study is to describe the patient selection criteria and perioperative steps in a single-stage exchange for hip and knee arthroplasty undertaken at our Institute. The outlined protocol can be performed using standard debridement, attention to detail and well-recognised reconstructive techniques.
ISSN:0883-5403
1532-8406
DOI:10.1016/j.arth.2015.05.047