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One-Stage vs Two-Stage Exchange

2013; Elsevier BV; Volume: 29; Issue: 2 Linguagem: Inglês

10.1016/j.arth.2013.09.048

1532-8406

Paul M. Lichstein, Thorsten Gehrke, Adolph V. Lombardi, Carlo Luca Romanò, I Stockley, George C. Babis, Jerzy Białecki, László Bucsi, Xu Cai, Li Cao, Brian de Beaubien, Johannes Erhardt, Stuart B. Goodman, William A. Jiranek, Peter Keogh, David G. Lewallen, Paul Manner, Wojciech Marczyński, J. Bohannon Mason, Kevin Mulhall, Wayne G. Paprosky, Preetesh D. Patel, Francisco Piccaluga, Gregory G. Polkowski, Luis Pulido, I Stockley, Juan C. Suárez, Fritz Thorey, Р. М. Тихилов, Job Diego Velazquez, Heinz Winkler,

Total Knee Arthroplasty Outcomes

Consensus: One-stage exchange arthroplasty is a reasonable option for the treatment of periprosthetic joint infection (PJI) in circumstances where effective antibiotics are available but not in patients with systemic manifestations of infection (sepsis) in whom resection arthroplasty and reduction of bioburden may be necessary. Relative contraindications to performing a one-stage exchange may include lack of identification of an organism preoperatively, the presence of a sinus tract or severe soft tissue involvement that may lead to the need for flap coverage.