Periprosthetic knee infection: Ten strategies that work


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

Knee Surgery and Related Research, vol.25, no.4, pp.155-164, 2013 (Scopus) identifier identifier

  • Publication Type: Article / Article
  • Volume: 25 Issue: 4
  • Publication Date: 2013
  • Doi Number: 10.5792/ksrr.2013.25.4.155
  • Journal Name: Knee Surgery and Related Research
  • Journal Indexes: Scopus
  • Page Numbers: pp.155-164
  • Keywords: Arthroplasty, Infection control, Knee, Periprosthetic joint infection, Reoperation
  • Acibadem Mehmet Ali Aydinlar University Affiliated: No

Abstract

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.