Specificities of total hip and knee arthroplasty revision for infection.

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Abstract

[Indexed for MEDLINE] 13. World J Orthop. 2020 Dec 18;11(12):559-572. doi: 10.5312/wjo.v11.i12.559. eCollection 2020 Dec 18. Systematic review of single stage revision for prosthetic joint infection. Lum ZC(1), Holland CT(2), Meehan JP(3). Author information: (1)Department of Orthopaedic Surgery, Davis Medical Center, University of California, Sacramento, CA 95817, United States. (2)Department of Orthopaedics, University of California, Davis Medical Center, Sacramento, CA 95817, United States. ctholland@ucdavis.edu. (3)Department of Orthopaedics, University of California, Davis Medical Center, Sacramento, CA 95817, United States. 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. ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved. DOI: 10.5312/wjo.v11.i12.559 PMCID: PMC7745489