Periprosthetic knee infection: Ten strategies that work


Parvizi J., Cavanaugh P. K., Diaz-Ledezma C.

Knee Surgery and Related Research, cilt.25, sa.4, ss.155-164, 2013 (Scopus) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 25 Sayı: 4
  • Basım Tarihi: 2013
  • Doi Numarası: 10.5792/ksrr.2013.25.4.155
  • Dergi Adı: Knee Surgery and Related Research
  • Derginin Tarandığı İndeksler: Scopus
  • Sayfa Sayıları: ss.155-164
  • Anahtar Kelimeler: Arthroplasty, Infection control, Knee, Periprosthetic joint infection, Reoperation
  • Acıbadem Mehmet Ali Aydınlar Üniversitesi Adresli: Hayır

Özet

Periprosthetic joint infection (PJI) is one of the most serious complications following total knee arthroplasty (TKA). The demand for TKA is rapidly increasing, resulting in a subsequent increase in infections involving knee prosthesis. Despite the existence of common management practices, the best approach for several aspects in the management of periprosthetic knee infection remains controversial. This review examines the current understanding in the management of the following aspects of PJI: preoperative risk stratification, preoperative antibiotics, preoperative skin preparation, outpatient diagnosis, assessing for infection in revision cases, improving culture utility, irrigation and debridement, one and twostage revision, and patient prognostic information. Moreover, ten strategies for the management of periprosthetic knee infection based on available literature, and experience of the authors were reviewed.