Periprosthetic knee infection: treatment options.

SALVAGE PROCEDURES Suppressive antibiotics Total knee arthroplasty dair infection knee periprosthetic single stage treatment options two stage

Journal

Orthopedic reviews
ISSN: 2035-8164
Titre abrégé: Orthop Rev (Pavia)
Pays: United States
ID NLM: 101524779

Informations de publication

Date de publication:
2022
Historique:
entrez: 9 11 2022
pubmed: 10 11 2022
medline: 10 11 2022
Statut: epublish

Résumé

Infection is one of the most catastrophic complication following total knee arthroplasty (TKA) and represents the second most common cause of TKA failure. Treatment of a patient with periprosthetic joint infection (PJI) could require often costly and prolonged hospital stays, weeks or months of antibiotic therapy, and multiple surgical procedures. The best management is still highly debating, whereas many treatment options are available. These include suppressive antibiotics, arthroscopic irrigation and debridement, open debridement with insert exchange, single-stage reimplantation and two-stage reimplantation. The choice of the treatment depends on many variables, including integrity of implant, timing of the infection, host factors (age, health, immunologic status), virulence of the infecting organism and wishes of the patient. The aim of this review is to provide a comprehensive understaning of the different options for knee PJIs.

Identifiants

pubmed: 36349351
doi: 10.52965/001c.37537
pii: 37537
pmc: PMC9635989
doi:

Types de publication

Journal Article

Langues

eng

Pagination

37537

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Auteurs

Michele Vasso (M)

Multidisciplinary Department of Medicine for Surgery and Orthodontics, University of Campania "Luigi Vanvitelli" - Naples (Italy).

Luigi Capasso (L)

San Giovanni Calibita "Fatebenefratelli - Isola Tiberina" Hospital - Rome (Italy).

Katia Corona (K)

Department of Medicine and Health Sciences "Vincenzo Tiberio", University of Molise, Campobasso (Italy).

Enrico Pola (E)

Multidisciplinary Department of Medicine for Surgery and Orthodontics, University of Campania "Luigi Vanvitelli" - Naples (Italy).

Giuseppe Toro (G)

Multidisciplinary Department of Medicine for Surgery and Orthodontics, University of Campania "Luigi Vanvitelli" - Naples (Italy).

Alfredo Schiavone Panni (A)

Multidisciplinary Department of Medicine for Surgery and Orthodontics, University of Campania "Luigi Vanvitelli" - Naples (Italy).

Classifications MeSH