Single-Stage Hip and Knee Exchange for Periprosthetic Joint Infection

David A George; Sujith Konan; Fares S Haddad

doi:10.1016/j.arth.2015.05.047

Single-Stage Hip and Knee Exchange for Periprosthetic Joint Infection

J Arthroplasty. 2015 Dec;30(12):2264-70. doi: 10.1016/j.arth.2015.05.047. Epub 2015 May 30.

Authors

David A George¹, Sujith Konan¹, Fares S Haddad²

Affiliations

¹ Department of Trauma and Orthopaedic Surgery, University College London Hospitals, London, UK.
² Department of Trauma and Orthopaedic Surgery, University College London Hospitals, London, UK; The Princess Grace Hospital, London, UK; Institute of Sport, Exercise and Health, University College London, London, UK.

PMID: 26096072
DOI: 10.1016/j.arth.2015.05.047

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.

Keywords: hip exchange arthroplasty; knee exchange arthroplasty; patient selection; periprosthetic joint infections; single-stage exchange; surgical technique.

MeSH terms

Arthritis, Infectious / surgery*
Arthroplasty, Replacement, Hip / methods*
Arthroplasty, Replacement, Knee / methods*
Debridement
Hip Prosthesis / adverse effects
Humans
Knee Prosthesis / adverse effects
Prosthesis-Related Infections / surgery*
Reoperation / methods