Strategies for Management of Periprosthetic Joint Infection.

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Abstract

[Indexed for MEDLINE] 7. Arthroplasty. 2023 Oct 3;5(1):52. doi: 10.1186/s42836-023-00205-3. Management of soft tissues in patients with periprosthetic joint infection. Shao H(1), Zhou Y(2). Author information: (1)Department of Orthopaedic Surgery, Beijing Jishuitan Hospital, Capital Medical University, Fourth Clinical College of Peking University, No. 31 Xinjiekou East Street, Xicheng District, Beijing, 100035, China. (2)Department of Orthopaedic Surgery, Beijing Jishuitan Hospital, Capital Medical University, Fourth Clinical College of Peking University, No. 31 Xinjiekou East Street, Xicheng District, Beijing, 100035, China. orthoyixin@yahoo.com. BACKGROUND: Appropriate soft tissue management represents a critical step in treating periprosthetic joint infection (PJI). This review discusses relevant guidelines that surgeons should follow in the management of soft tissues in PJI treatment. BODY: It is imperative for arthroplasty surgeons to thoroughly debride and rebuild soft tissue with a good blood supply. Relevant guidelines that surgeons should follow rigorously include preoperative evaluation of soft tissue status and plan-making, adequate surgical area exposure, intraoperative removal of all necrotic and infected soft tissues, adequate coverage of soft tissue defects, timely postoperative assessment and management of soft tissues, wound management and proper rehabilitation. CONCLUSION: Soft tissue management plays a critical role in the treatment of PJI. To improve the infection control rate and postoperative joint function, surgeons should be familiar with these general principles and rigorously practice them in PJI management. © 2023. Arthroplasty Society in Asia. DOI: 10.1186/s42836-023-00205-3 PMCID: PMC10546773