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modified through the development of static spacers 10 and then articulating spacers in 2001. 11 Single-stage exchange for periprosthetic joint infection is not a truly new technique: it was first described by Buchholz in the 1970s at the Endo
School of Health Sciences, Faculty of Medicine, University of Thessalia, Larissa, Greece
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JN . Outcome of single-stage versus two-stage exchange for revision knee arthroplasty for chronic periprosthetic infection . EFORT Open Rev 2019 ; 4 : 495 – 502 . 15. McPherson EJ Woodson C Holtom P Roidis
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14 222 . ( https://doi.org/10.1186/1471-2474-14-222 ) 47 Pangaud C Ollivier M & Argenson JN . Outcome of single-stage versus two-stage exchange for revision knee arthroplasty for chronic periprosthetic infection . EFORT Open Reviews 2019 4
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a single centre . Bone Joint J 2014 ; 96-B : 759 – 764 . 48. Nagra NS Hamilton TW Ganatra S Murray DW Pandit H . One-stage versus two-stage exchange arthroplasty for infected total knee
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destruction is significant, a two-stage primary joint arthroplasty with bony cut and spacer may be considered to first sterilize the joint and subsequently reconstruct it. However, some authors suggest that a single-stage approach is feasible when the
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reported. 32 One-stage revision arthroplasty Based on the experience of knee and hip infection management, a single-stage exchange is proposed as a reasonable option when the infecting micro-organism is satisfactiorily identified. The
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approaches, 18 , 19 a delayed infection definitely is chronic and always requires surgical removal of all non-viable material for cure. There is ongoing debate on the timing of re-implantation of a new prosthesis, either in one single stage or in
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polyethylene exchange is an attractive option in treating peri-prosthetic infections because it involves a single operation. This procedure may reduce the potential morbidity associated with a two-stage re-implantation procedure, such as loss of bone stock
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We believe that an attempt to irrigate and debride with polyethylene exchange presents little harm to patients. However, it is controversial whether DAIR may diminish the eradication potential of a future one- or two-stage revision surgery. Sherrell
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Leeds Institute of Rheumatic Musculoskeletal Medicine (LIRMM), Chapel Allerton Hospital, Leeds, UK
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Leeds Institute of Rheumatic Musculoskeletal Medicine (LIRMM), Chapel Allerton Hospital, Leeds, UK
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Leeds Institute of Rheumatic Musculoskeletal Medicine (LIRMM), Chapel Allerton Hospital, Leeds, UK
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Joint Registry (NJR) data indicating 10-year revision rates of approximately 2% for a number of commonly used prostheses ( 6 ). Nonetheless, prosthetic joint infection (PJI) remains a devastating complication. Of all single- and first-stage revisions (of
