[Periprosthetic joint infections : Latest developments, strategies and treatment algorithms].

[Periprosthetic joint infections : Latest developments, strategies and treatment algorithms].
Orthopade. 2020 Jul 08;:
Authors: Lehner B, Omlor GW, Schwarze M
Abstract
BACKGROUND: Due to their multidimensional consequences, periprosthetic joint infections are a serious complication in arthroplasty. There are disagreements in the literature regarding their classification. At the same time, a consequence for the practical procedure cannot always be derived.
THERAPEUTIC PROCEDURES: In addition to debridement with antibiotics and implant retention, there are options for a one or two-stage change in the therapeutic procedure. Although the preservation of implants is only possible in the case of acute infections with a short duration of symptoms, prosthesis changes are indicated with a longer symptom duration. For both procedures, there are interinstitutional deviating indication criteria, weighing pros and cons. Both have specific problems, such as, in particular, the duration of the antibiotics course, the question of anchoring the prosthesis and, in the case of a two-stage procedure, the shape of the spacer.
PMID: 32642942 [PubMed - as supplied by publisher]

Source: Der Orthopade - July 7, 2020 Category: Orthopaedics Authors: Lehner B, Omlor GW, Schwarze M Tags: Orthopade Source Type: research