Systematic review of single stage revision for prosthetic joint infection.

World J Orthop

Department of Orthopaedics, University of California, Davis Medical Center, Sacramento, CA 95817, United States.

Published: December 2020

AI Article Synopsis

  • Despite advancements in technology and surgery improving patient outcomes for joint replacements, prosthetic joint infections still significantly impact healthcare costs and resources in orthopaedics.* -
  • Two-stage arthroplasty revision is the traditional treatment for these infections, but some argue that single-stage revisions can be equally effective and more cost-efficient.* -
  • This review covers the history, principles, indications, contraindications, and outcomes of single-stage revision arthroplasty, particularly for hip and knee infections, while looking at future developments in the field.*

Article Abstract

While advanced technology, increased medical knowledge and improved surgical technique has improved patient outcomes in total joint arthroplasty, prosthetic joint infection still remains one of the leading causes of increased healthcare costs, medical resources and societal burdens in orthopaedic care. Two stage arthroplasty revision remains the gold standard for treatment of prosthetic joint infection. Proponents of single stage revision arthroplasty for infection argue that it results in lower healthcare costs while improving patient reported functional outcomes and with equivalent success rates. Here we review the history of single stage revision arthroplasty, discuss the key principles, highlight the indications and contraindications, and review the reported outcomes with a focus on future developments of single stage revision arthroplasty for hip and knee periprosthetic joint infections.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7745489PMC
http://dx.doi.org/10.5312/wjo.v11.i12.559DOI Listing

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